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S cedosporium apiospermum atrial mycetomas after lung transplantation for cystic fibrosis
Author(s) -
Miraldi F.,
Anile M.,
Ruberto F.,
Tritapepe L.,
Puglese F.,
Quattrucci S.,
Messina T.,
Vitolo D.,
Venuta F.
Publication year - 2012
Publication title -
transplant infectious disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.69
H-Index - 67
eISSN - 1399-3062
pISSN - 1398-2273
DOI - 10.1111/j.1399-3062.2011.00679.x
Subject(s) - medicine , scedosporium apiospermum , lung transplantation , lung , cystic fibrosis , transplantation , surgery , pathology , voriconazole , dermatology , antifungal
A 37‐year‐old patient with cystic fibrosis underwent double lung transplantation. She developed disseminated Scedosporium apiospermum infection 2 months after surgery. Along with multiple brain abscesses, lung infection, and chorioretinitis, a cardiac echo revealed 2 large intra‐atrial mycetomas floating close to the right upper pulmonary vein orifice. The mycetomas were removed through a trans‐atrial approach under cardiopulmonary by pass; histology and cultures confirmed the diagnosis. Despite intensive treatment, the patient succumbed from massive brain hemorrhage on the 10th postoperative day.