| systemic antifungal agents. | anti-fungal agents are classified under two major headings, systematic and topical agents. only systematic anti-fungal agents will be discussed in this chapter. since the discovery in 1955, amphotericin b has been the cornerstone of anti-fungal treatment. it is active against most species of fungi. however, candida lusitaniae, pseudallescheria boydii, and fusarium spp have primary resistance to amphotericin b. recently, new liposomal preparations of amphotericin b have been developed. they are l ... | 2001 | 11519290 |
| 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 ... | 2001 | 11525222 |
| 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) ... | 2001 | 11548851 |
| 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 ... | 2001 | 11599744 |
| 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 ... | 2001 | 11808991 |
| 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 ... | 2002 | 11817966 |
| 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 ... | 2002 | 11823982 |
| multicenter evaluation of proposed standardized procedure for antifungal susceptibility testing of filamentous fungi. | a multicenter study was conducted to expand the generation and analysis of data that supports the proposal of a reference method for the antifungal susceptibility testing of filamentous fungi. broth microdilution mics of amphotericin b and itraconazole were determined in 11 centers against 30 coded duplicate pairs of aspergillus spp., fusarium spp., pseudallescheria boydii, and rhizopus arrhizus. the effect of inoculum density (approximately 10(3) and 10(4) cfu/ml), incubation time (24, 48, and ... | 1997 | 8968895 |
| oral terbinafine for treatment of pulmonary pseudallescheria boydii infection refractory to itraconazole therapy. | | 1997 | 9063671 |
| 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 ... | 2001 | 11844150 |
| 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 ... | 2002 | 11959581 |
| 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 ... | 2002 | 12006471 |
| 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 ... | 2001 | 12024935 |
| vertebral osteomyelitis due to pseudallescheria boydii. | a case of primary vertebral osteomyelitis due to an opportunistic fungus, pseudallescheria boydii, in a child with acute myeloid leukemia, is reported. to our knowledge this is the first such case in a child, and only the second reported case in the international literature of primary spinal osteomyelitis due to this organism. we discuss the problems presented by this case both in terms of diagnosis and management. we also discuss the role of surgery and systemic antifungal chemotherapy in the t ... | 1997 | 9213351 |
| 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 ... | 2002 | 12069979 |
| 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. | 2002 | 12099748 |
| 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 ... | 2002 | 12146753 |
| 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 ... | 2002 | 12201372 |
| infectious posterior scleritis caused by pseudallescheria boydii. clinicopathologic findings. | the purpose of the study is to describe an unusual case of infectious posterior scleritis after excision of a pterygium. | 1997 | 9261319 |
| [pulmonary pseudallescheriasis in a patient with diabetes mellitus and alcoholic liver cirrhosis]. | a 62-year-old man with diabetes mellitus and alcoholic liver cirrhosis was admitted to the hospital because of hemoptysis. chest x-ray films and computed tomograms showed a dense infiltrative lesion and a healed tuberculous cavity with a possible fungus ball in the upper lobe of the right lung. bronchoscopy revealed that the hemoptysis originated from the right upper-lobe bronchus. the bleeding stopped after thrombin was applied into the bronchus. filamentous fungi were seen in lavage fluid from ... | 1998 | 9742872 |
| 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. | 2002 | 12421295 |
| 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 ... | 2002 | 12427626 |
| successful bone marrow transplantation in patients with previous invasive fungal infections: report of four cases. | patients with previous invasive fungal infections (ifi) are at high risk of reactivation of the infection during bmt, even after an apparently curative antifungal treatment. we report four patients who suffered an ifi after intensive chemotherapy for acute leukemia and were later submitted for bmt. one patient had developed a chronic systemic candidiasis during consolidation chemotherapy and received prophylactic oral or iv fluconazole (200 mg daily) throughout bmt. two patients developed an inv ... | 1994 | 8199569 |
| 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). | 2002 | 12490804 |
| 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 ... | 2002 | 12535264 |
| 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 ... | 2002 | 12535265 |
| 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 ... | 2003 | 12574250 |
| 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 ... | 2003 | 12602968 |
| 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, ... | 2003 | 12605032 |
| [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. | 2003 | 12605151 |
| 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. | 2003 | 12654687 |
| [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. | 2003 | 12843827 |
| isolated sphenoid sinusitis due to pseudallescheria boydii. | a case of sphenoid sinusitis due to pseudallescheria boydii is described in a 52-year-old non-immunocompromised woman. treatment should always involve surgical drainage, and antifungal chemotherapy may be of benefit if there is histological evidence of invasion of surrounding tissue. for p. boydii infection miconazole should be the agent of choice, rather than amphotericin b. for this reason it is important to obtain culture and histological examination of sinus contents if fungal infection is s ... | 1993 | 8320525 |
| [nine cases of maduromycosis in the belgian congo caused by allescheria boydii, monosporium apiospermum and nocardia madurae]. | | 1954 | 13229089 |
| isolation of histoplasma capsulatum, allescheria boydii and microsporum gypseum from iowa soil in an attempt to determine the probable point source of a case of histoplasmosis. | | 1962 | 13877537 |
| an abortion due to allescheria boydii and general observations concerning mycotic abortions of mares. | | 1965 | 14331433 |
| osteomyelitis due to pseudallescheria boydii. | this report describes an unusual opportunistic fungal infection in an immunocompetent young man who had no cutaneous involvement and whose infection was diagnosed 6 years after an accident. the unusual clinical presentation and difficulties in making a correct diagnosis are discussed and prophylactic antifungal chemotherapy is suggested. | 1993 | 8434301 |
| 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 ... | 2004 | 14747453 |
| isolation of histoplasma capsulatum and allescheria boydii from soil. | | 1951 | 14845707 |
| 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 ... | 2004 | 15048196 |
| arthritis without grains caused by pseudallescheria boydii. | severe infection of the knee joint by pseudallescheria boydii in a 23-year-old female resulted in complete destruction of the cartilaginous surface. the possibility of entry of the fungus through mild abrasions of unperforated skin is discussed. the clinical appearance is compared with that of scedosporium prolificans. antimycotic miconazole-itraconazole treatment, applied during a period of 4 months, was successful; no side-effects were noted. | 1995 | 8569811 |
| 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. | 2004 | 15105159 |
| vertebral osteomyelitis secondary to pseudallescheria boydii. | because pseudallescheria boydii vertebral osteomyelitis is rare and frequently resistant to available antifungal agents, the proper treatment of this lesion has not been defined. to better determine the best treatment of this lesion, the authors evaluated a case p. boydii vertebral osteomyelitis and reviewed the literature. a 48-year-old man had isolated thoracic vertebral osteomyelitis resulting from p. boydii and associated severe thoracic back pain and proximal lower extremity pain and weakne ... | 2001 | 11481561 |
| 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 ... | 2002 | 11825121 |
| 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. | 2004 | 15135387 |
| 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 ... | 2004 | 15149002 |
| 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. | | 2002 | 11843660 |
| 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 ... | 2002 | 12042248 |
| 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 ( ... | 2002 | 12352630 |
| 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 ... | 2002 | 12394669 |
| rapid extraction of genomic dna from medically important yeasts and filamentous fungi by high-speed cell disruption. | current methods of dna extraction from different fungal pathogens are often time-consuming and require the use of toxic chemicals. dna isolation from some fungal organisms is difficult due to cell walls or capsules that are not readily susceptible to lysis. we therefore investigated a new and rapid dna isolation method using high-speed cell disruption (hscd) incorporating chaotropic reagents and lysing matrices in comparison to standard phenol-chloroform (pc) extraction protocols for isolation o ... | 1998 | 9620390 |
| 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 ... | 2004 | 15555531 |
| 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. | 2004 | 15558341 |
| pathology of hyalohyphomycosis caused by scedosporium apiospermum (pseudallescheria boydii): an emerging mycosis. | the genus scedosporium contains two medically significant species of emerging mycotic agents, s. apiospermum and s. prolificans, which have received scant attention. scedosporium apiospermum is the anamorph, or asexual state, of the cosmopolitan fungus pseudallescheria boydii, with both sharing the same risk factors for infection, clinical spectrum, and histopathologic features. scedosporium prolificans is a recently recognized agent of bone, soft tissue, and joint infections that occurs with hi ... | 1998 | 9824105 |
| onychomycosis in white line disease in horses: pathology, mycology and clinical features. | this paper describes onychomycosis in horses and reports the pathological findings, associated fungi and incidence of concurrent white line disease. in addition to these observations, relevance between post mortem and clinical findings of onychomycosis are discussed in 3 necropsied horses. samples were collected from 100 hooves from a total of 51 thoroughbreds suffering from white line disease. of these, 15 hooves from 13 horses were also complicated with severe hoof wall fissure formation. prep ... | 1998 | 9932091 |
| 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. | 2006 | 15864705 |
| pseudallescheria boydii infection in aids. | | 1999 | 10048912 |
| 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 ... | 2005 | 16010855 |
| 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 ... | 2004 | 16088460 |
| [pseudallescheria boydii osteoarthritis in a patient with acute lymphoblastic leukemia: a case report]. | the outcome of neutropenic patients with pseudallescheria boydii infection is poor. | 1999 | 10365416 |
| disseminated pseudallescheria boydii infection in a nonimmunocompromised host. | we present a highly unusual case of pulmonary pseudallescheria boydii infection in a nonimmunocompromised host with a cavitating mass lesion. the diagnosis was confirmed by open lung biopsy. the patient was treated at another institution with course of amphotericin b, considered an ineffective therapy for this infection, and presented to us with direct extension and invasion of the left atrial appendage and the pulmonary artery, followed by massive pulmonary embolization and hematogenous dissemi ... | 1999 | 10453893 |
| 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 ... | 2005 | 16207168 |
| 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 ... | 2005 | 16207945 |
| successful treatment of madura foot caused by pseudallescheria boydii with escherichia coli superinfection: a case report. | | 1999 | 10459334 |
| case report. atypical cutaneous pseudallescheriosis refractory to antifungal agents. | we report on a 65-year-old male heart transplant recipient who was otherwise in good condition. the patient was immunocompromised secondarily due to cyclosporin, prednisolone and azathioprine when widespread pustular skin lesions with erythematous margins subsequently developed on his left forearm. there was no history of trauma or septic temperature. bacterial cultures were sterile and the results of native and cultural investigation studies were negative. a biopsy specimen of the lesion demons ... | 1999 | 10546493 |
| activity of terbinafine against serious fungal pathogens. | although primarily indicated for dermatophyte infections, the allylamine terbinafine is active in vitro against a broad spectrum of filamentous and dimorphic fungi, in most cases with a primary fungicidal action. using the standard nccls m27-a assay, recent studies confirmed the high activity of terbinafine against dematiaceous fungi and other medically important moulds such as aspergillus and penicillium marneffei. terbinafine displayed a geometric mean mic of 1.4 micrograms/ml against candida ... | 1999 | 10865917 |
| 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. | 2006 | 16533231 |
| 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. | 2007 | 16572287 |
| molecular variability of pseudallescheria boydii, a neurotropic opportunist. | the sequences of the internal transcribed spacer (its) ribosomal dna (rdna) domain data obtained by restriction fragment length polymorphism analysis with 18s rdna and fingerprinting (m13) for clinical and environmental strains of pseudallescheria boydii (anamorph, scedosporium apiospermum) were compared to those for related species of pseudallescheria, petriella, and scedosporium. the infraspecific variability of p. boydii was considerable. there were five different lengths in the 18s rdnas wit ... | 2000 | 10970369 |
| [new developments in therapy of deep mycoses]. | over the past two decades the incidence of deep mycoses caused by several major groups of fungal pathogens such as candida spp., aspergilli, cryptococcus neoformans and zygomycetes has risen steadily. moreover, opportunistic fungal infections due to fusarium spp., trichosporon spp., pseudallescheria boydii and other emerging pathogens, as well as fluconazole-resistant candida albicans, all of which are often resistant to existing antifungal drugs, are also encountered more and more frequently. t ... | 2000 | 11064319 |
| [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 ... | 2005 | 16623262 |
| fungal keratitis caused by pseudallescheria boydii (scedosporium apiospermum). | keratitis is rarely caused by fungi. filamentous fungal keratitis is often preceded by corneal trauma and occurs mostly in previously healthy individuals. we studied a case of posttraumatic keratitis caused by pseudallescheria boydii, which belongs to the group of filamentous fungi. | 2000 | 11126674 |
| 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. | 2006 | 16772225 |
| 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 ... | 2006 | 16775782 |
| 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 ... | 2006 | 16805091 |
| 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 ... | 2007 | 16864987 |
| 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 ... | 2006 | 16872133 |
| emerging fungal pathogens: evolving challenges to immunocompromised patients for the twenty-first century. | opportunistic fungi have emerged during the past decade as important causes of morbidity and mortality in immunocompromised patients. candida species constitute the third to fourth most common causes of nosocomial blood stream infections, and aspergillus species have emerged as the most common infectious cause of pneumonic mortality in bone marrow/stem cell transplant recipients. among hiv-infected patients, meningoencephalitis due to cryptococcus neoformans ranks among the most common aids-defi ... | 1999 | 11428996 |
| 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. | 2006 | 17015631 |
| 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. | 2006 | 17148086 |
| pseudallescheriasis: a summary of patients from 1980-2003 in a tertiary care center. | pseudallescheria boydii is being increasingly isolated in immunocompromised patients. | 2006 | 17149961 |
| 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 ... | 2006 | 17168149 |
| endogenous pseudallescheria boydii endophthalmitis in a patient with ring-enhancing brain lesions. | a 46-year-old man, status post liver transplantation and taking immunosuppressive medications, was admitted after suffering a generalized seizure. magnetic resonance imaging of the brain revealed two ring-enhancing lesions and treatment was begun for presumed toxoplasmic encephalitis. he was already receiving amphotericin b for a skin lesion suspected to be caused by candidiasis. one day after the seizure, he complained of photophobia in the left eye. intraocular inflammation and a small infiltr ... | 2001 | 11475400 |
| 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. | 2004 | 15134998 |
| 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 ... | 2004 | 15183592 |
| 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 ... | 2007 | 17459581 |
| pseudallescheria boydii infection after liver retransplantation. | | 2007 | 17600358 |
| 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 ... | 2007 | 17692684 |
| 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 ... | 2007 | 17710625 |
| 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 ... | 2006 | 17713200 |
| 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, ... | 2007 | 17714363 |
| 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 ... | 2008 | 17932784 |
| 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 ... | 2007 | 17944715 |
| fungal endocarditis caused by pseudallescheria (petriellidium) boydii in an intravenous drug abuser. | we present a case of fungal endocarditis in a 42-year-old man with a history of intravenous drug abuse who required aortic valve replacement for severe aortic insufficiency. cultures of the resected valve grew pseudallescheria boydii. the patient subsequently developed persistent endocarditis of the prosthetic valve with systemic embolism. at autopsy, cultures of the prosthetic valve grew monosporium apiospermum, an anamorph of pseudallescheria boydii. although fungal endocarditis is not uncommo ... | 1987 | 15227321 |
| 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 ... | 2007 | 18039905 |
| 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 ... | 2008 | 18077629 |
| 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 ... | 2008 | 18202441 |
| 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 ... | 2004 | 15301126 |
| 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 ... | 2008 | 18363572 |
| pseudallescheria boydii or aspergillus fumigatus in a lady with an unresolving lung infiltrate, and a literature review. | a 53-year-old lady with blood-stained sputum and pleuritic pain had a lingular opacity on cxr which failed to resolve. a bronchial aspirate and transbronchial biopsy revealed features of bronchocentric granulomatosis with dichotomous branching hyphae suggestive of aspergillus infection. however, subsequent fungal culture grew pseudallescheria boydii. this case demonstrates the similarity of clinical and histological features caused by these two fungi. this appears to be the first reported case o ... | 2008 | 18399878 |