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uncommon opportunistic fungi: new nosocomial threats.during the past two decades opportunistic fungal infections have emerged as important causes of morbidity and mortality in patients with severe underlying illnesses and compromised host defenses. while aspergillus and candida spp. collectively account for the majority of these infections, recent epidemiological trends indicate a shift towards infections by aspergillus spp., nonalbicans candida spp., as well as previously uncommon opportunistic fungi. apart from an expanding number of different z ...200111525222
chronic sino-naso-orbital fungal infection due to pseudallescheria boydii in a nonimmunocompromised host--a case report.a case of recurrent sino-naso-orbital fungal infection due to pseudallescheria boydii described in a 28 yrs. old man, who appeared immunocompetent, and was found negative for hiv i and ii by elisa tested on two occasions. the fungal culture was negative. it is very essential to identify p boydii as miconazole is the only antifungal drug of choice for this fungus. the pathologist plays an important role in identifying this fungus when fungal culture fails to yield the growth. the pathologist has ...200112024935
pulmonary scedosporium infection following lung transplantation.infectious complications are frequent following lung transplantation. tracheobronchial aspergillosis is the predominant fungal infection in these patients. infections with scedosporium apiospermium (pseudoallescheria boydii) and scedosporium prolificans (scedosporium inflatum) have mainly been described in bone marrow transplant recipients and only occasionally in solid organ transplant recipients. we analysed risk factors, the clinical course and outcome of seven lung transplant recipients who ...200111844150
a peptidorhamnomannan from the mycelium of pseudallescheria boydii is a potential diagnostic antigen of this emerging human pathogen.the ascomycete pseudallescheria boydii is an emerging human pathogen frequently found in soil and polluted water. a peptidopolysaccharide antigen has been isolated from mycelial forms of p. boydii, and characterized using chemical and immunological methods. monosaccharide composition, methylation analysis, and (1)h- and (13)c-nmr spectra indicated the presence of a rhamnomannan with a structure distinct from those of similar components isolated from other fungi, containing rhap(1-->3)rhap epitop ...200111390680
atypical skin lesions caused by curvularia sp. and pseudallescheria boydii in two patients after allogeneic bone marrow transplantation.we report two patients who developed atypical skin lesions caused by curvularia sp. and pseudallescheria boydii after allogeneic bone marrow transplantation for severe aplastic anemia. the first patient (female, 18-year-old) had multiple hemorrhagic vesicles on day +30 after her second bmt for graft failure. pseudallescheria boydii was isolated from a skin biopsy. the patient died of respiratory failure probably as a consequence of systemic fungal infection. the second patient (male, 9-year-old) ...200111548851
typing of scedosporium apiospermum by multilocus enzyme electrophoresis and random amplification of polymorphic dna.the genetic diversity among epidemiologically unrelated strains of the human pathogenic fungus scedosporium apiospermum or its teleomorph, pseudallescheria boydii, from different areas in europe, was investigated by multilocus enzyme electrophoresis (mlee) and random amplification of polymorphic dna (rapd). fourteen enzyme activities were analysed by starch gel electrophoresis, corresponding to 27 polymorphic loci and 43 iso-enzymes. among the enzymes studied, propionate esterase, carboxyl ester ...200111599744
pseudallescheria boydii knee arthritis in a young immunocompetent adult two years after a compound patellar fracture.pseudallescheria boydii arthritis of the knee developed in a 32-year-old immunocompetent man 2 years after a compound patellar fracture contaminated with soil. no other potential portal of entry was identified, suggesting that the fungus remained latent for 2 years. pseudallescheria arthritis often occurs after a prolonged latency period, causing minimal symptoms that contrast with the frequently severe radiological changes. although this organism often shows limited sensitivity to most antifung ...200111808991
disseminated pseudallescheria boydii (scedosporium apiospermum) infection in a renal transplant patient.transplant recipients receive a number of immunosuppressive medications that result in an increased risk of infection, including infections with microbes that are normally not pathogenic. we describe a patient with end-stage renal disease who underwent kidney transplantation. six months postoperatively, he presented with a lesion on his ankle, multiple thigh nodules, and right testicular pain. biopsy of the ankle lesion demonstrated pseudallescheria boydii (scedosporium apiospermum), a common en ...200212535264
breakthrough scedosporium apiospermum (pseudallescheria boydii) brain abscess during therapy for invasive pulmonary aspergillosis following high-risk allogeneic hematopoietic stem cell transplantation. scedosporiasis and recent advances in antifungal therapy.systemic scedosporiasis due to the anamorph or asexual form scedosporium apiospermum (pseudallescheria boydii) has become an important cause of opportunistic mycosis, especially in patients undergoing high-risk hematopoietic stem cell transplantation. we report a case of rapidly progressive cerebellar hyalohyphomycosis due to scedosporium apiospermum in an allogeneic marrow graft recipient receiving treatment for severe graft-versus-host disease. this fatal breakthrough intracranial abscess, due ...200212535265
experimental murine model of disseminated pseudallescheria infection.pseudallescheria boydii is found in soil and has a worldwide distribution. this fungus was initially identified as a pathogen targeting a variety of tissues. there are fragmentary data in the literature on the in vitro susceptibility of p. boydii to different antifungal compounds. p. boydii is highly refractory to antifungal treatments. in this study, a murine model of disseminated pseudallescheria infection was developed to evaluate efficacy of different treatment regimens. a clinical strain of ...200212146753
primary cutaneous fungal infections in solid organ transplantation: a case series.cutaneous fungal infections in solid-organ transplant patients present in a variety of nonspecific ways, requiring a high index of suspicion to diagnose correctly. in the present series of four transplant recipients, subsequent primary cutaneous fungal infections presented as papules, plaques, ulcers and subcutaneous nodules. transplantations included one cardiac, two renal and one renal-pancreatic transplant. fungal infections were limited to the skin; there was no evidence of disseminated dise ...200212201372
pseudallescheria boydii (anamorph scedosporium apiospermum). infection in solid organ transplant recipients in a tertiary medical center and review of the literature.(sca) is a ubiquitous filamentous fungus capable of causing invasive disease. we reviewed our electronic microbiology records and the english-language literature. between 1976 and december 1999 we identified 23 solid organ transplant recipients with sca infection, 7 of which occurred between december 1987 and december 1999 at our institution. overall incidence was 1 per 1,000 patients, with a trend of higher incidence in patients receiving lung transplants compared with other transplant organs ( ...200212352630
an immunocompetent patient with primary scedosporium apiospermum vertebral osteomyelitis.scedosporium apiospermum, the asexual anamorph of pseudallescheria boydii, is a ubiquitous saprophytic fungus that usually causes cutaneous/subcutaneous infection but may manifest as an invasive disease, often in immunocompromised hosts. following an extensive literature review, we think that this case represents the first documented report of a primary infection of the spine in an immunocompetent patient. despite extensive surgical debridement and itraconazole therapy, the patient died of multi ...200212394669
case reports. infection due to scedosporium apiospermum in renal transplant recipients: a report of two cases and literature review of central nervous system and cutaneous infections by pseudallescheria boydii/sc. apiospermum.two cases of infections due to scedosporium apiospermum in renal transplant recipients, one localized in the central nervous system, the other in the skin, are presented, and a literature review of 21 cases of central nervous system and cutaneous infections due to pseudallescheria boydii/sc. apiospermum is given.200212421295
mycotic aneurysms as lethal complication of brain pseudallescheriasis in a near-drowned child: a ct demonstration.intracranial true mycotic aneurysms are rare and generally lethal. we report a case of a near-drowned child with brain abscesses due to pseudallescheria boydii, a saprophytic fungus, who died after subarachnoid hemorrhage occurred. ct showed contrast-enhancing lesions indicative of aneurysms of basilar and right posterior cerebral arteries that could not be appreciated 2 days before. p. boydii is often resistant to commonly used antimycotic drugs. because cns infection is frequently associated w ...200212427626
mycetoma due to pseudallescheria boydii and co-isolation of nocardia abscessus in a patient injured in road accident.we report the case of a patient who developed a mycetoma after experiencing a road accident. from surgical biopsies pseudallescheria boydii was isolated. subsequently, after the infection had been treated with itraconazole, a gram-positive bacterium, identified as the newly described species nocardia abscessus, was cultured from wound fluids.200212462533
pseudallescheriasis as an aggressive opportunistic infection in a bone marrow transplant recipient.pseudallescheria boydii is a low-virulence fungus that is the main causative agent of posttraumatic mycetoma in a nonimmunocompromised host. immunocompromised patients are at high risk for locally invasive or disseminated pseudallescheria infection. however, aggressive opportunistic infections due to p boydii are reported infrequently because it morphologically resembles other fungi, especially aspergillus species, on tissue histology; therefore, such infections are not identified and treated pr ...200211825121
antifungal triazoles and polymorphonuclear leukocytes synergize to cause increased hyphal damage to scedosporium prolificans and scedosporium apiospermum.scedosporium prolificans and scedosporium apiospermum (pseudallescheria boydii) cause pulmonary and disseminated infections refractory to most currently used antifungal agents in immunocompromised patients. we therefore investigated the potential antifungal activities of the triazoles itraconazole (itc), voriconazole (vrc), and posaconazole (psc) in combination with human polymorphonuclear leukocytes (pmns) against the hyphae of these fungal pathogens. a colorimetric assay with (2,3-bis[2-methox ...200212069979
characterization of glucosylceramides in pseudallescheria boydii and their involvement in fungal differentiation.pseudallescheria boydii is a fungal pathogen that causes disease in immunocompromised patients. ceramide monohexosides (cmhs) were purified from lipidic extracts of this fungus, showing that, as described for several other species, p. boydii synthesizes glucosylceramides as major neutral glycosphingolipids. cmhs from p. boydii were analyzed by high-performance thin-layer chromatography, gas chromatography coupled to mass spectrometry, fast atom bombardment-mass spectrometry, and nuclear magnetic ...200212042248
scedosporium apiospermum fungemia in a lung transplant recipient.scedosporium apiospermum, the asexual anamorph of the cosmopolitan fungus pseudallescheria boydii, is emerging as an important cause of disseminated infection in immunocompromised patients. we present our experience with the first reported case of s apiospermum fungemia in a lung transplant patient. disseminated infection resulted in sepsis, multiorgan failure, and death. review of the literature highlights the diagnostic difficulties related to the similarities between s. apiospermum and asperg ...200212006471
scedosporium apiospermum (pseudallescheria boydii) endocarditis.scedosporium apiospermum, the asexual state of pseudallescheria boydii, is increasingly recognized as an opportunistic pathogen. we report a case of native valve endocarditis due to this organism that developed in an elderly patient following a prolonged hospitalization. literature on endocarditis caused by s. apiospermum and p. boydii is reviewed.200212099748
central nervous system aspergillosis: a 20-year retrospective series.over the past 20 years at my institution, 71 patients with invasive necrotizing aspergillosis have been encountered; 42 have shown central nervous system (cns) involvement by autopsy (40) or surgical biopsy (2). most non-cns aspergillosis patients had invasive disease confined to the lung, and only 2 with dissemination to 3 or more organs did not have spread to the cns. in addition to the expected post-transplantation and hematologic malignancy cases, other risk groups identified included those ...200211823982
scedosporium apiospermum pneumonia and sternal wound infection in a heart transplant recipient.the most common fungi that cause invasive infection in transplant recipients are the spp, spp, and the endemic fungi such as and. recently, however, other fungal pathogens have emerged as important causes of invasive disease in these immunocompromised individuals, including the dematiaceous fungi, such as and the spp, species of and, and the hyalohyphomycoses, such as (pseudallescheria boydii) (1).200212490804
fungal skin infections in organ transplant recipients.transplantation is now currently and increasingly performed for the treatment of various acute and chronic diseases. today the kidney, heart, lung, heart-lung, liver, pancreas, kidney-pancreas, small bowel and bone marrow are being transplanted. the immunological status of patients receiving such transplants exposes them to the risk of developing bacterial, viral and fungal infections. the etiological agents of mycotic diseases involving the skin of transplant recipients range from the common de ...200211817966
a chemically modified tetracycline (cmt-3) is a new antifungal agent.several chemically modified tetracycline analogs (cmts), which were chemically modified to eliminate their antibacterial efficacy, were unexpectedly found to have antifungal properties. of 10 cmts screened in vitro, all exhibited antifungal activities, although their efficacies varied. among these compounds, cmt-315, -3, and -308 were found to be the most potent as antifungal agents. the mics of cmt-3 against 47 strains of fungi in vitro were determined by using amphotericin b (amb) and doxycycl ...200211959581
cutaneous infection showing sporotrichoid spread caused by pseudallescheria boydii (scedosporium apiospermum): successful detection of fungal dna in formalin-fixed, paraffin-embedded sections by seminested pcr. 200211843660
detection and identification of fungi from fungus balls of the maxillary sinus by molecular techniques.the aim of this study was to find a reliable method for the detection and identification of fungi in fungus balls of the maxillary sinus and to evaluate the spectrum of fungi in these samples. one hundred twelve samples were obtained from patients with histologically proven fungal infections; 81 samples were paraffin-embedded tissue sections of the maxillary sinus. in 31 cases, sinus contents without paraffin embedding were sent for investigation. pcr amplification with universal fungal primers ...200312574250
cutaneous infection due to scedosporium apiospermum in an immunosuppressed patient.scedosporium apiospermum, the anamorphic form of pseudallescheria boydii, is a filamentous fungus with low inherent virulence. increasing numbers of cases of this infection have been reported probably related to the rising number of immunosuppressed persons. apart from mycetoma, cutaneous and subcutaneous infection is rarely encountered in clinical practice. we describe a case of cutaneous infection caused by scedosporium apiospermum in a subject with rheumatoid arthritis and diabetes mellitus w ...200312602968
[mycetoma: 130 cases].mycetoma is a pathological process in which eumycotic (fungal) or actinomycotic causative agents from exogenous source produce grains. it follows penetrating injury inoculating soil organisms, occurring preferentially in rural areas usually among labourers who work barefoot. mycetoma is a localized chronic, and deforming infectious disease of subcutaneous tissues, skin and bones. we report 130 cases of mycetoma in senegal from 1983 to 2000.200312605151
activity of posaconazole against pseudallescheria boydii: in vitro and in vivo assays.thirty isolates of pseudallescheria boydii were tested to compare the in vitro activity of posaconazole with those of fluconazole and itraconazole, using nccls methods. posaconazole was evaluated in an immunosuppressed mouse model of disseminated pseudallescheriasis. posaconazole was more effective than itraconazole and as effective as fluconazole in preventing death and significantly reducing the cfu of p. boydii from tissues.200312654687
in situ hybridization for the differentiation of aspergillus, fusarium, and pseudallescheria species in tissue section.identification of fungi in tissue sections can be difficult. in particular, species of aspergillus, fusarium, and pseudallescheria all appear as septate, branched hyphae. however, their differentiation can have significant clinical implications, as the latter two groups are often resistant to commonly used antifungal agents. in situ hybridization may assist in rapidly distinguishing these organisms in the absence of available culture. oligonucleotide dna probes were directed against the 5s, 18s, ...200312605032
scedosporium apiospermum keratitis treated with itraconazole.mycotic keratitis usually occurs in conjunction with trauma to the cornea. scedosporium apiospermum, a dematiaceous fungus linked to the teleomorph pseudallescheria boydii is not a common agent of mycotic keratitis. a 22-year old male patient with mycotic keratitis due to s. apiospermum is presented. in in vitro susceptibility testing, the isolate showed resistance against amphotericin b (minimum inhibitory concentration [mic] 16 microg ml(-1)) but was susceptible to itraconazole (itc) and fluco ...200312964842
human phagocytic cell responses to scedosporium apiospermum (pseudallescheria boydii): variable susceptibility to oxidative injury.scedosporium apiospermum (pseudallescheria boydii) is an emerging opportunistic filamentous fungus that causes serious infections in both immunocompetent and immunocompromised patients. to gain insight into the immunopathogenesis of infections due to s. apiospermum, the antifungal activities of human polymorphonuclear leukocytes (pmns), mononuclear leukocytes (mncs), and monocyte-derived macrophages (mdms) against two clinical isolates of s. apiospermum were evaluated. isolate sa54a was amphoter ...200314573669
[successful treatment with voriconazol of a pseudallescheria boydii fungus ball in a hiv positive patient and previous tuberculosis].we herein describe a patient with a pseudallescheria boydii fungus ball in a tuberculous lung cavity, which was successfully treated four years earlier. the patient was hiv positive classified as c3 with a previous history of i.v. heroin abuse. the clinical presumptive diagnosis was radiologically established combined with histological examination. culture of tissue confirmed and proved the fungal etiology. in vitro mic values for voriconazole (0.5 mg/ml) guided antifungal prophylactic treatment ...200315456374
[mycetomas in central tunisia].mycetomas are inflammatory pseudo-tumors containing fungal or actinomycosic-type grains. they are frequent in tropical and subtropical countries and unknown in tunisia.200312843827
scedosporium/pseudallescheria infections.the genus scedosporium comprises a group of filamentous fungi found ubiquitously in the environment. the two major human pathogens within this genus are s. apiospermum-the asexual state of pseudallescheria boydii-and s. prolificans. both histologically resemble aspergillus species, with hyphae that are septated and branching at acute angles. although scedosporium infections can occur in immunocompetent persons, the overall incidence has increased over the last decade as a consequence of improved ...200416088460
orbital apex syndrome secondary to pseudallescheria boydii fungal sinusitis in an immunocompetent patient.orbital apex syndrome secondary to mucormycosis in immuno-compromised patients is well described; however, few reports exist of a paranasal sinus mycetoma resulting in this presentation in the immuno-competent patient. the case is reported of a 92-year-old man who developed orbital apex syndrome secondary to a sphenoidal sinus mycetoma of pseudallescheria boydii.200415498073
[apropos of a case of chronic lung disease caused by allescheria-boydii]. 20046545659
maxillary sinusitis: isolation of scedosporium (monosporium) apiospermum, anamorph of petriellidium (allescheria) boydii. 20046984735
in vitro activity of anidulafungin against selected clinically important mold isolates.in this study, we evaluated the in vitro activity of anidulafungin against selected mold isolates. anidulafungin showed promising activity against bipolaris spicifera, exophiala jeanselmei, fonsecaea pedrosoi, madurella mycetomatis, penicillium marneffei, phialophora verrucosa, pseudallescheria boydii, sporothrix schenckii, and wangiella dermatitidis.200415105159
susceptibility of pseudallescheria boydii and scedosporium apiospermum to new antifungal agents.hyalohyphomycoses caused by pseudallescheria boydii and scedosporium apiospermum have recently been on the increase. to find the appropriate treatment for this emerging disease, we examined the antifungal susceptibility of 10 isolates of p. boydii and 17 isolates of s. apiospermum, most of which were isolated from clinical specimens. when the nccls m38-p microdilution method was used, itraconazole showed strong antifungal activities, while amphotericin b had little efficacy. a new triazole agent ...200415118667
pseudoallescheria boydii pneumonia and empyema: a rare complication of heart transplantation cured with voriconazole.pseudoallescheria boydii pneumonia is a rare occurrence, usually resistant to amphotericin b and other anti-fungal agents. we report a complete response to voriconazole in an immunosuppressed host.200415135387
pseudallescheria boydii cranial osteomyelitis and subdural empyema successfully treated with voriconazole: a case report and literature review.described here is a case of pseudallescheria boydii cranial osteomyelitis and subdural empyema following craniotomy, which was successfully treated with surgical debridement and voriconazole. other reported cases of pseudallescheria boydii osteomyelitis are reviewed. the reported case suggests that voriconazole may represent a new therapeutic option for this infection.200415558341
pulmonary pseudallescheria boydii infection with cutaneous zygomycosis after near drowning.pseudallescheria boydii is a ubiquitously occurring fungus. while rarely causing opportunistic infection in humans, it is the most common cause of fungal pneumonia in cases of near drowning, and is associated with high mortality. p. boydii typically causes cutaneous mycetomas but may invade the lungs or brain. p. boydii infections are difficult to treat due to amphotericin b resistance and frequent need for surgical resection. zygomycetous infections, often referred to as "mucormycoses," usually ...200415301126
infection of the cns by scedosporium apiospermum after near drowning. report of a fatal case and analysis of its confounding factors.this report describes a fatal case of central nervous system pseudallescheriasis. a 32 year old white man presented with headache and meningismus 15 days after nearly drowning in a swine sewage reservoir. computerised tomography and magnetic resonance imaging of the head revealed multiple brain granulomata, which vanished when steroid and broad spectrum antimicrobial and antifungal agents, in addition to dexamethasone, were started. cerebrospinal fluid analysis disclosed a neutrophilic meningiti ...200414747453
testicular involvement in disseminated fungal infection by pseudallescheria boydii.we present an immunocompromised patient with a painless testicular mass. usually, this mass is suspicious for testicular cancer; however, a fungal abscess from pseudallescheria boydii was found. the patient eventually died from disseminating infection. this is the first such report of a testicular infection involving p. boydii. early diagnosis and treatment are paramount because of the poor outcome with disseminated disease.200415134998
structure and biological functions of fungal cerebrosides.ceramide monohexosides (cmhs, cerebrosides) are glycosphingolipids composed of a hydrophobic ceramide linked to one sugar unit. in fungal cells, cmhs are very conserved molecules consisting of a ceramide moiety containing 9-methyl-4,8-sphingadienine in amidic linkage to 2-hydroxyoctadecanoic or 2-hydroxyhexadecanoic acids, and a carbohydrate portion consisting of one residue of glucose or galactose. 9-methyl 4,8-sphingadienine-containing ceramides are usually glycosylated to form fungal cerebros ...200415048196
respiratory tract intracavitary colonization due to scedosporium apiospermum: report of four cases.four cases of respiratory tract intracavitary colonization (fungus ball) due to scedosporium apiospermum (teleomorph, pseudallescheria boydii) are reported. the need for a careful search for anneloconidia, in order to establish the etiologic diagnosis in the clinical specimen by microscopy, is emphasized.200415057335
meningitis caused by pseudallescheria boydii.we present a 43-year-old immunocompetent man who developed meningitis caused by pseudallescheria boydii. the patient had no history of near drowning, trauma, steroid administration, operations or any other underlying systemic disease. he presented with intermittent fever associated with headache, bilateral eye pain, and vomiting. progressive hydrocephalus was noted during the course of the disease. cerebrospinal fluid (csf) from the ventricular system allowed culture of the organism. although th ...200415149002
otitis caused by scedosporium apiospermum in an immunocompetent child.scedosporium apiospermum (pseudallescheria boydii) is a ubiquitous saprophytic mold. it is considered an infrequent but important and emerging human pathogen, mostly in immunocompromised hosts. otomycosis secondary to s. apiospermum is extremely rare. we report an 8-year-old immunocompetent male who developed otitis media and otitis externa from s. apiospermum, which was successful treated with combination of surgical debridement and topical clotrimazole therapy. a brief literature review of inf ...200415183592
involvement of peptidorhamnomannan in the interaction of pseudallescheria boydii and hep2 cells.pseudallescheria boydii is an emerging fungal pathogen that has a worldwide distribution. virulence mechanisms of p. boydii are largely unknown. we studied the interaction between p. boydii and hep2 cells and demonstrated that conidia of p. boydii attached to, and were ingested by, hep2 cells in a time-dependent process. after 2 h of interaction, the conidia produced a germ-tube like projection, which was able to penetrate the epithelial cell membrane. recently, our group characterized a peptido ...200415555531
pulmonary pseudallescheriasis in a patient with healed tuberculosis.pulmonary pseudallescheriasis in an immunocompetent patient without a pre-existing cavity or cyst is a rare phenomenon. we report a case of invasive pulmonary pseudallescheriasis in a lobectomised patient treated for tuberculosis. filamentous fungi with pyriform conidia were seen in the bronchoalveolar lavage fluid . the fungus was identified as pseudallescheria boydii on culture.200415645170
cutaneous scedosporium apiospermum infection in an immunocompromised patient and a review of the literature.scedosporium apiospermum (also known as pseudallescheria boydii) is a ubiquitous filamentous fungus. this fungus is known as a cause of mycetoma, which may occur in a normally immune host following trauma. however, in an immunocompromised host, s. apiospermum may cause a life-threatening infection. we describe a case of s. apiospermum infection of the right hand in a patient who was receiving long-term immunosuppressants for adult still's disease. we also review the cases of s. apiospermum infec ...200515823912
in vitro activities of new and established triazoles against opportunistic filamentous and dimorphic fungi.the in vitro activities of three new triazoles were determined and compared to those of itraconazole and fluconazole against 306 clinical isolates of blastomyces dermatitidis, cladophialophora carrionii, coccidioides immitis, fonsecaea pedrosoi, fusarium spp., histoplasma capsulatum, paecilomyces lilacinus, pseudallescheria boydii and sporothrix schenckii. minimum inhibitory concentrations (mic) were determined by a broth macrodilution method of the national committee for clinical laboratory sta ...200516010855
molecular phylogeny of the pseudallescheria boydii species complex: proposal of two new species.pseudallescheria boydii (anamorph scedosporium apiospermum) is the species responsible for human scedosporiosis, a fungal infection with a high mortality rate and which is difficult to treat. recently, it has been demonstrated that high genetic variation exists within this species. we have performed a morphological and molecular study involving numerous strains of clinical or environmental origins and from different countries. the analysis of partial sequences of the beta-tubulin (two loci) and ...200516207945
disseminated pseudallescheria boydii infection successfully treated with voriconazole. 200516291910
prosthetic valve endocarditis caused by scedosporium apiospermum.scedosporium apiospermum, the asexual state of pseudallescheria boydii, is increasingly recognized as an opportunistic pathogen. we report a case of prosthetic valve endocarditis caused by this organism that developed in a patient following cardiac surgery.200516327126
scedosporium apiospermum brain abscess treated with surgery and voriconazole. case report.scedosporium apiospermum is a fungus found in the soil and in contaminated water. common cutaneous manifestations include madura foot, a painless swelling on the sole of the foot. invasive infection is usually associated with immunosuppression. the authors present a 16-month-old immunocompetent boy who had a near-drowning event. following this, he was severely disabled with spastic quadriparesis. early computerized tomography scans revealed diffuse hypoxic injury. magnetic resonance images obtai ...200516122011
activity of posaconazole in the treatment of central nervous system fungal infections.a multinational, multicentre, open-label clinical trial was conducted to evaluate the safety and efficacy of posaconazole, an extended-spectrum triazole antifungal agent, in subjects with invasive fungal infections who had refractory disease or who were intolerant of standard antifungal therapy. in this subanalysis, we report on those subjects in this trial who had a fungal infection that involved the cns.200516135526
pseudallescheriasis in the 21st century.since its discovery as an agent of mycetoma nearly a century ago, pseudallescheria boydii with its asexual (synanamorphic) form, scedosporium apiospermum, is now recognized as an important emerging opportunistic pathogen causing invasive mycosis in immunocompromised patients. the clinical spectrum of pseudallescheriasis is wide. invasive disease of the lung, cns and dissemination are serious manifestations in immunocompromised patients. this organism responds poorly to amphotericin b, and its hi ...200516207168
[pseudoallescheria boydii (scedosporium apiospermum), cause of mycotic granulomatous osteomyelitis--case diagnosis].fungal bone infections constitute about 0.1-0.2% of all osteomyelitis cases. the disease, mycetoma pedis, most often affects the feet and is also known as madura foot. mycetoma, extremely rare in this geographic area, is endemic in tropical and subtropical regions. we present a case of mycetoma pedis (madura foot). the patient was a 50-year-old woman. the clinical signs included pain, indurations, and local redness. the anamnesis was very long, about 10 years. the operative material was routinel ...200516623262
allescheria boydii osteomyelitis. 2005445916
structures of the o-linked oligosaccharides of a complex glycoconjugate from pseudallescheria boydii.nonreducing o-linked oligosaccharides were obtained from the peptidorhamnomannan of mycelia of pseudallescheria boydii by alkaline beta-elimination under reducing conditions. they were separated by gel filtration chromatography to give three oligosaccharide fractions. the major oligosaccharide from fraction 1 was characterized by a combination of techniques including electrospray ionization quadrupole time-of-flight tandem mass spectrometry (esi ms/ms), matrix-assisted laser desorption ionizatio ...200515932920
phytochemistry and antifungal properties of the newly discovered tree pleodendron costaricense.gas chromatography analysis of the essential oils of leaves and bark collected from the newly discovered tree pleodendron costaricense identified alpha-pinene, beta-pinene, beta-myrcene, beta-thujene, and beta-caryophyllene as their major constituents. phytochemical analysis of p. costaricense parts led to the isolation and identification of delta-tocotrienol, beta-sitosterol, four known drimane-type sesquiterpenes, cinnamodial (1), cinnamosmolide (2), polygodial (3), and mukaadial (4), and two ...200616872133
lethal brain abscess due to the fungus scedosporium apiospermum (teleomorph pseudallescheria boydii) after a near-drowning incident: case report and review of the literature.a 39-year-old healthy man developed a brain abscess weeks after a near-drowning incident. scedosporium apiospermum, the anamorph of pseudallescheria boydii, was isolated from the abscess. the patient died 153 days after the accident despite antifungal therapy. we discuss the role of antifungals and review the literature for comparable cases.200616882615
pseudallescheria boydii keratitis.a case of pseudallescheria boydii keratitis is presented. the patient was successfully treated with topical natamycin and systemic itraconazole in conjunction with penetrating keratoplasty, leading to visual acuity of 20/40.200617148086
invasive fungal sinusitis caused by pseudallescheria boydii: case report and literature review.fungal sinusitis secondary to pseudallescheria boydii is rare, as only 25 cases have been previously reported in the literature. although pboydii resembles aspergillus on pathologic examination, it is typically resistant to amphotericin b. therefore, culture is necessary to differentiate the two. patients with p boydii sinusitis should generally be treated with a combination of surgery and antifungal therapy. combination treatment is particularly important for immunocompromised patients with fun ...200617168149
pseudallescheria boydii keratitis.we describe a patient with pseudallescheria boydii keratitis. the treatment of mycotic keratitis remains difficult. this case demonstrates that identification and susceptibility testing should be rapidly performed. in cases of indolent keratitis, the possibility of fungal infection should be kept in mind.200616598981
an alpha-glucan of pseudallescheria boydii is involved in fungal phagocytosis and toll-like receptor activation.the host response to fungi is in part dependent on activation of evolutionarily conserved receptors, including toll-like receptors and phagocytic receptors. however, the molecular nature of fungal ligands responsible for this activation is largely unknown. herein, we describe the isolation and structural characterization of an alpha-glucan from pseudallescheria boydii cell wall and evaluate its role in the induction of innate immune response. these analyses indicate that alpha-glucan of p. boydi ...200616766532
scedosporium apiospermum: changing clinical spectrum of a therapy-refractory opportunist.current knowledge on the opportunist scedosporium apiospermum (teleomorph: pseudallescheria boydii), generated over a period of more than 120 years, is reviewed. the natural environmental habitat of the fungus is unknown; nutrient-rich, brackish waters like river estuaria have been suggested. the fungus is strongly promoted by agricultural and particularly by industrial pollution.200616772225
pseudallescheria boydii releases metallopeptidases capable of cleaving several proteinaceous compounds.pseudallescheria boydii is an opportunistic filamentous fungus that causes serious infections in humans. virulence attributes expressed by p. boydii are unknown. conversely, peptidases are incriminated as virulence factors in several pathogenic fungi. here we investigated the extracellular peptidase profile in p. boydii. after growth on sabouraud for 7 days, mycelia of p. boydii were incubated for 20 h in pbs-glucose. the cell-free pbs-glucose supernatant was submitted to sds-page and 12 secreto ...200616487686
disseminated subcutaneous nodules caused by pseudallescheria boydii in an atopic patient.we present a 40-year-old woman with atopic dermatitis and multiple purulent subcutaneous nodules of 20 years' evolution. the biopsy material was cultured and revealed pseudallescheria boydii. the patient was treated with oral itraconazole for 4 months and incision and drainage of the lesions. afterwards the patient remained asymptomatic and no new lesions were detected.200616533231
antifungal susceptibilities of the species of the pseudallescheria boydii complex.eighty-four isolates belonging to eight species that constitute the pseudallescheria boydii complex were tested against 11 antifungal agents by using the microdilution method. there were significant differences among the species, with scedosporium aurantiacum being the most resistant. in general, voriconazole was the most active drug, followed by posaconazole.200617015631
extracellular peptidase in the fungal pathogen pseudallescheria boydii.pseudallescheria boydii is a ubiquitous filamentous fungus capable of causing invasive disease in humans. in the present study, using sodium dodecyl sulfate-polyacrylamide gels containing bovine serum albumin as co-polymerized substrate, we identified a 28-kda proteolytic activity released to the extracellular environment by mycelia of p. boydii. this peptidase was detected during the growth of p. boydii in sabouraud-dextrose medium for 13 days and reached its maximal production on day 7. the 28 ...200616775782
polycytella hominis is a mutated form of scedosporium apiospermum.pcr amplification and sequencing of two separate regions of the nuclear ribosomal repeat region revealed that polycytella hominis, a hyphomycete isolated from a human case of mycetoma, was genetically indistinguishable from scedosporium apiospermum (the anamorph of pseudallescheria boydii). these organisms also exhibited remarkably similar susceptibility profiles to common antifungal agents. p. hominis is thus likely to be a mutant of s. apiospermum showing abnormalities of sporulation, for whic ...200616805091
sewage sludge open-air drying affects on keratinolytic, keratinophilic and actidione-resistant fungi.the study was to demonstrate the effect of sewage sludge open-air drying on the quantitative and qualitative composition of keratinolytic/keratinophilic and actidione-resistant fungi. the sludge was being dried for up to thirty days (on average fourteen days) at 25-30'c. the composition of these fungi was determined with the hair baiting method along with the dilution method, using the wiegand medium supplemented with chloramphenicol (100 mgil) and actidione (500 mg/l). the open-air drying alter ...200617713200
pseudallescheriasis: a summary of patients from 1980-2003 in a tertiary care center.pseudallescheria boydii is being increasingly isolated in immunocompromised patients.200617149961
successful treatment of multiple pseudallescheria boydii brain abscesses and ventriculitis/ependymitis in a 2-year-old child after a near-drowning episode.we report on a cerebral infection by pseudallescheria boydii in a 21-month-old boy after a near-drowning episode. mri revealed multiple (> 60) intracerebral abscesses.200615864705
scedosporium apiospermum (pseudoallescheria boydii) infection in lung transplant recipients.scedosporium apiospermum, the asexual counterpart of the teleomorph pseudallescheria boydii, is increasingly recognized as an important opportunistic pathogen in transplant recipients. infection is associated with a high rate of dissemination and poor outcome overall.200717403476
scedosporium apiospermum infection after near-drowning.scedosporium apiospermum and its teleomorph (sexual form) pseudallescheria boydii are ubiquitous saprophytic fungi, which under specific conditions, such as near-drowning, may cause therapy-refractory and life-threatening infections. we reviewed 22 cases (eight children and 14 adults) of s. apiospermum infection after near-drowning reported in the literature including an additional paediatric case from our institution. scedosporiosis after near-drowning was associated with high mortality (16/23, ...200717714363
endobronchial fungal disease: an under-recognized entity.most fungi enter the human body via inhalation; however, endobronchial fungal infection (ebfi) seems to be a rare manifestation compared to pulmonary or systemic disease. this presentation seems to be related to environmental factors as well as to the host status. with the increasing popularity of flexible bronchoscopy, it is being recognized with a higher frequency. bronchoscopic findings in ebfi vary from mild mucosal inflammation to central airway obstruction. we searched english literature r ...200716864987
subcutaneous infection with pseudallescheria boydii in an immunocompromised patient.with the broad employment of immunosuppressive therapy, the incidence of pseudallescheria boydii infections is rising. we report a first case of the localized subcutaneous p. boydii infection in a patient with microscopic polyangiitis. favorable outcome related to the treatment with voriconazole adds to the growing body of evidence supporting the use of this particular agent in p. boydii infections.200716572287
occurrence of pathogenic fungi in soil of burrows of rats and of other sites in bamboo plantations in india and nepal.this study examined 215 samples of soil from burrows of rats, other sites in bamboo plantations in different parts of india and nepal by dilution plating and mouse passage technique for occurrence of penicillium marneffei and other pathogenic fungi. none of the samples including 25 collected from the burrows of a bamboo rat (cannomys badius) known to be a carrier of p. marneffei, was positive for the fungus. among the pathogenic fungi recovered were four isolates of pseudallescheria boydii (incl ...200717944715
periocular abscess caused by pseudallescheria boydii after a posterior subtenon injection of triamcinolone acetonide.a posterior subtenon injection of triamcinolone acetonide is an alternative to intravitreal injection in diabetic macular edema and is known to have fewer vision-threatening complications. here, we report a case of periocular abscess following posterior subtenon injection of triamcinolone.200716612634
graphium basitruncatum fungemia in a patient with acute leukemia.we report the first case of infection caused by graphium basitruncatum in a man with acute leukemia who developed persistent fungemia and skin lesions. g. basitruncatum, a member of the microascaceae, is phylogenetically and morphologically distinct from graphium penicillioides and the opportunistic pathogens scedosporium apiospermum (pseudallescheria boydii) and scedosporium prolificans.200717314217
mycelial forms of pseudallescheria boydii present ectophosphatase activities.phosphatase activities were characterized in intact mycelial forms of pseudallescheria boydii, which are able to hydrolyze the artificial substrate p-nitrophenylphosphate (p-npp) to p-nitrophenol (p-np) at a rate of 41.41+/-2.33 nmol p-np per h per mg dry weight, linearly with increasing time and with increasing cell density. mgcl2, mncl2 and zncl2 were able to increase the (p-npp) hydrolysis while cdcl2 and cucl2 inhibited it. the (p-npp) hydrolysis was enhanced by increasing ph values (2.5-8.5 ...200717429613
development of bioreactor system for treatment of dioxin-contaminated soil using pseudallescheria boydii.we developed a conceptual feasible design of bioreactor system for treatment of dioxin-contaminated soils that uses the dioxin-degrading fungus pseudallescheria boydii (p. boydii) we had isolated. the dioxin-degradation conditions in bioreactor treatment was established by clarifying the inhibiting factors for the growth of p. boydii using both real contaminated and laboratory prepared soils mixed with fly ash. in addition, ethanol extraction process as post-treatment methods for the remaining d ...200717459581
pseudallescheria boydii infection after liver retransplantation. 200717600358
disseminated scedosporium apiospermum infection in renal transplant recipient: long-term successful treatment with voriconazole: a case report.scedosporium apiospermum, the asexual form of pseudallescheria boydii, is a ubiquitous fungus that represents an unfrequent complication of immune suppression. it accounts for 20% of all non-aspergillus mold infections in organ transplant recipients. the infection can be localized or disseminated in multiple organs, including lungs, brain, joints, tendons, and skin, and is difficult to treat, due to resistance of s apiospermum to amphotericin b and other antifungal agents. the mortality rate is ...200717692684
intraspecific diversity of species of the pseudallescheria boydii complex.in order to establish intraspecific diversity of pseudallescheria boydii and scedosporium apiospermum, and to develop tools for their identification, variability within p. boydii and related species was investigated at different levels of diversity. sequences of the d1/d2 region of large subunit (lsu) and of the internal transcribed spacer (its) region of ribosomal dna (rdna) gene were analyzed for a set of 57 strains, as well as partial sequences of the elongation factor 1-alpha (ef 1-alpha). i ...200717710625
granulomatous and eosinophilic rhinitis in a cow caused by pseudallescheria boydii species complex (anamorph scedosporium apiospermum).a 2-year-old hereford cow was presented to the teaching hospital for increased respiratory noise and bilateral bloody nasal discharge. a nodular rhinitis was detected clinically, and the nasal biopsy revealed a granulomatous and eosinophilic rhinitis with intralesional fungi. the cow was euthanized due to financial constraints. grossly multifocal-to-coalescing, raised, ulcerated firm nodules were present in both nares. histologically, the lamina propria was expanded by intense infiltrates of eos ...200718039905
the opportunistic fungal pathogen scedosporium prolificans: carbohydrate epitopes of its glycoproteins.isolated from the mycelium of scedosporium prolificans were complex glycoproteins (rmp-sp), with three structurally related components (hpsec). rmp-sp contained 35% protein and 62% carbohydrate with rha, ara, man, gal, glc, and glcnh(2) in a 18:1:24:8:6:5 molar ratio. methylation analysis showed mainly nonreducing end- of galp (13%), nonreducing end- (9%), 2-o- (13%), and 3-o-subst. rhap (7%), nonreducing end- (11%), 2-o- (10%), 3-o- (14%), and 2,6-di-o-subst. manp units (13%). mild reductive be ...200817996291
efficacy of a selective isolation procedure for members of the pseudallescheria boydii complex.members of the p. boydii species complex (microascaceae) are frequently involved in human opportunistic disease. studies indicate that the prevalent habitat of p. boydii sensu lato is in agriculturally exploited or otherwise human-impacted soils. quantitative analysis of fungal indicators in the environment can be exploited for monitoring of general environmental changes, as well as for understanding local population changes and its epidemiological consequences. in this study we present the deve ...200817932784
fungal endophthalmitis: fourteen years' experience from a centre in india.background:: as fungal endophthalmitis is an emerging challenge, the study was carried out to determine the prevalence and the spectrum of fungal agents causing endophthalmitis from a single center, to identify the risk factors, and to correlate clinical course of illness with the agents involved. methods:: the microbiological and clinical records of all fungal endophthalmitis diagnosed during january 1992 through december 2005 at a tertiary center in india were reviewed retrospectively. during ...200818791488
fungal endophthalmitis: fourteen years' experience from a center in india.as fungal endophthalmitis is an emerging challenge, the study was carried out to determine the prevalence and the spectrum of fungal agents causing endophthalmitis from a single center, to identify the risk factors, and to correlate clinical course of illness with the agents involved.200819009680
re-identification of clinical isolates of the pseudallescheria boydii-complex involved in near-drowning.fungal infections caused by the members of the genera pseudallescheria and/or scedosporium are important complications in patients after near-drowning. as the taxonomy of pseudallescheria and scedosporium has been revised, clinical isolates from 11 patients, after near-drowning, previously identified as p. boydii or s. apiospermum had to be re-identified. s. apiospermum, now separated from p. boydii as a distinct species, was found most frequently (n = 8), while s. aurantiacum, recently describe ...200818782237
molecular and phenotypic data supporting distinct species statuses for scedosporium apiospermum and pseudallescheria boydii and the proposed new species scedosporium dehoogii.based on the morphological, physiologic, and molecular (beta-tubulin gene) study of 141 isolates of the pseudallescheria boydii species complex (including several synonyms) and relatives, the new species scedosporium dehoogii is proposed. scedosporium apiospermum and p. boydii are considered two different species and the new name scedosporium boydii is proposed for the anamorph of the latter species. a summary of the key morphological and physiological features for distinguishing the species of ...200818077629
infections caused by scedosporium spp.scedosporium spp. are increasingly recognized as causes of resistant life-threatening infections in immunocompromised patients. scedosporium spp. also cause a wide spectrum of conditions, including mycetoma, saprobic involvement and colonization of the airways, sinopulmonary infections, extrapulmonary localized infections, and disseminated infections. invasive scedosporium infections are also associated with central nervous infection following near-drowning accidents. the most common sites of in ...200818202441
central nervous system infections by members of the pseudallescheria boydii species complex in healthy and immunocompromised hosts: epidemiology, clinical characteristics and outcome.infections caused by members of the pseudallescheria boydii species complex are currently among the most common mould infections. these fungi show a particular tropism for the central nervous system (cns). we reviewed all the available reports on cns infections, focusing on the geographical distribution, infection routes, immunity status of infected individuals, type and location of infections, clinical manifestations, treatment and outcome. a total of 99 case reports were identified, with simil ...200818331448
zygomycosis and other rare filamentous fungal infections in solid organ transplant recipients.fungi cause severe infections in solid organ transplant (sot) recipients. recently, a shift towards non-aspergillus filamentous fungal infections (naffi) was noticed. in a series of 2878 sots (kidney, pancreas, islets, liver, heart, lung, and bowel) performed between january 1995 and december 2006 at the innsbruck medical university, eleven cases of naffi were diagnosed. the encountered species included zygomyzetes (n = 8), and alternaria alternate, pseudallescheria boydii, trichoderma spp. (one ...200818363572
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