Pulmonary scedosporiosis caused by Lomentospora prolificans in a patient who is immunocompetent: A rare case report

ABSTRACT: Infections with Scedosporium and Lomentospora species are usually found in patients who are immunodeficient, particularly in the transplant population. However, they are relatively rare in patients who are immunocompetent, which is especially useful in ruling out near-drowning and aspirati...

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Main Authors: Xiqian Xing, Qian Liu, Wenli Yuan, Chenshao Zhu, Jiao Yang
Format: Article
Language:English
Published: Elsevier 2023-05-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971223001169
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author Xiqian Xing
Qian Liu
Wenli Yuan
Chenshao Zhu
Jiao Yang
author_facet Xiqian Xing
Qian Liu
Wenli Yuan
Chenshao Zhu
Jiao Yang
author_sort Xiqian Xing
collection DOAJ
description ABSTRACT: Infections with Scedosporium and Lomentospora species are usually found in patients who are immunodeficient, particularly in the transplant population. However, they are relatively rare in patients who are immunocompetent, which is especially useful in ruling out near-drowning and aspiration situations. Here, we report a case of a patient who is immunocompetent, with clinically suspected community-acquired pneumonia caused by Lomentospora prolificans detected by metagenomics next-generation sequencing (mNGS) and polymerase chain reaction from bronchoalveolar lavage fluid. This case highlights mNGS in the clinical diagnosis of pulmonary invasive fungal disease. mNGS is proposed as an important adjunctive diagnostic approach for rare pathogens.
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spelling doaj.art-a2185df0575048bab8f976d316b8bc522023-04-08T05:10:48ZengElsevierInternational Journal of Infectious Diseases1201-97122023-05-01130208210Pulmonary scedosporiosis caused by Lomentospora prolificans in a patient who is immunocompetent: A rare case reportXiqian Xing0Qian Liu1Wenli Yuan2Chenshao Zhu3Jiao Yang4Department of Pulmonary and Critical Care Medicine, The Affiliated Hospital of Yunnan University, Kunming, ChinaDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, ChinaDepartment of Clinical Laboratory, The Affiliated Hospital of Yunnan University, Kunming, ChinaDepartment of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, China; Corresponding authors:Department of Pulmonary and Critical Care Medicine, The First Affiliated Hospital of Kunming Medical University, Kunming, China; Corresponding authors:ABSTRACT: Infections with Scedosporium and Lomentospora species are usually found in patients who are immunodeficient, particularly in the transplant population. However, they are relatively rare in patients who are immunocompetent, which is especially useful in ruling out near-drowning and aspiration situations. Here, we report a case of a patient who is immunocompetent, with clinically suspected community-acquired pneumonia caused by Lomentospora prolificans detected by metagenomics next-generation sequencing (mNGS) and polymerase chain reaction from bronchoalveolar lavage fluid. This case highlights mNGS in the clinical diagnosis of pulmonary invasive fungal disease. mNGS is proposed as an important adjunctive diagnostic approach for rare pathogens.http://www.sciencedirect.com/science/article/pii/S1201971223001169Pulmonary scedosporiosisLomentospora prolificansScedosporiumMetagenomics next-generation sequencingImmunocompetent patient
spellingShingle Xiqian Xing
Qian Liu
Wenli Yuan
Chenshao Zhu
Jiao Yang
Pulmonary scedosporiosis caused by Lomentospora prolificans in a patient who is immunocompetent: A rare case report
International Journal of Infectious Diseases
Pulmonary scedosporiosis
Lomentospora prolificans
Scedosporium
Metagenomics next-generation sequencing
Immunocompetent patient
title Pulmonary scedosporiosis caused by Lomentospora prolificans in a patient who is immunocompetent: A rare case report
title_full Pulmonary scedosporiosis caused by Lomentospora prolificans in a patient who is immunocompetent: A rare case report
title_fullStr Pulmonary scedosporiosis caused by Lomentospora prolificans in a patient who is immunocompetent: A rare case report
title_full_unstemmed Pulmonary scedosporiosis caused by Lomentospora prolificans in a patient who is immunocompetent: A rare case report
title_short Pulmonary scedosporiosis caused by Lomentospora prolificans in a patient who is immunocompetent: A rare case report
title_sort pulmonary scedosporiosis caused by lomentospora prolificans in a patient who is immunocompetent a rare case report
topic Pulmonary scedosporiosis
Lomentospora prolificans
Scedosporium
Metagenomics next-generation sequencing
Immunocompetent patient
url http://www.sciencedirect.com/science/article/pii/S1201971223001169
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