Infections Caused by Scedosporium spp

Cortez, Karoll J.; Roilides, Emmanuel; Quiroz-Telles, Flavio; Meletiadis, Joseph; Antachopoulos, Charalampos; Knudsen, Tena; Buchanan, Wendy; Milanovich, Jeffrey; Sutton, Deanna A.; Fothergill, Annette; Rinaldi, Michael G.; Shea, Yvonne R.; Zaoutis, Theoklis; Kottilil, Shyam; Walsh, Thomas J.

doi:10.1128/cmr.00039-07

Cited by 786Antifungal resistance and susceptibilityFungal Infections and StudiesActinomycetales infections and treatment

Infections Caused by Scedosporium spp

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Cortez, Karoll J., Roilides, Emmanuel, Quiroz-Telles, Flavio, Meletiadis, Joseph, Antachopoulos, Charalampos, Knudsen, Tena, Buchanan, Wendy, Milanovich, Jeffrey +7 more·2008·Clinical Microbiology Reviews

DOI 10.1128/cmr.00039-07PMC PMC2223844

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Abstract

SUMMARY: 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 infection are the lungs, sinuses, bones, joints, eyes, and brain. Scedosporium apiospermum and Scedosporium prolificans are the two principal medically important species of this genus. Pseudallescheria boydii , the teleomorph of S. apiospermum , is recognized by the presence of cleistothecia. Recent advances in molecular taxonomy have advanced the understanding of the genus Scedosporium and have demonstrated a wider range of species than heretofore recognized. Studies of the pathogenesis of and immune response to Scedosporium spp. underscore the importance of innate host defenses in protection against these organisms. Microbiological diagnosis of Scedosporium spp. currently depends upon culture and morphological characterization. Molecular tools for clinical microbiological detection of Scedosporium spp. are currently investigational. Infections caused by S. apiospermum and P. boydii in patients and animals may respond to antifungal triazoles. By comparison, infections caused by S. prolificans seldom respond to medical therapy alone. Surgery and reversal of immunosuppression may be the only effective therapeutic options for infections caused by S. prolificans .

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Scedosporium prolificans may form biofilms, given that fungus balls resembling biofilm structures have been observed in some clinical cases.
“Scedosporium prolificans, a recently emerging human fungal pathogen of the respiratory system, may also form biofilms, given that fungus balls, resembling biofilm structures, have been observed in some clinical cases (30).”
From Candida albicans Biofilms and Human Disease (2015) · cites this paper as [30]

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Authors: Cortez, K. J., Roilides, E., Quiroz-Telles, F., Meletiadis, J., Antachopoulos, C., Knudsen, T., Buchanan, W., Milanovich, J., Sutton, D. A., Fothergill, A., Rinaldi, M. G., Shea, Y. R., Zaoutis, T., Kottilil, S., & Walsh, T. J.
Affiliations: Children's Hospital of Philadelphia (US)
Immunocompromised Host Section, Pediatric Oncology Branch, National Cancer Institute, Bethesda, Maryland
National Institutes of Health (US)
Corresponding author: Walsh, Thomas J.
ORCID: Roilides, Emmanuel
Meletiadis, Joseph
Antachopoulos, Charalampos
Kottilil, Shyam
Walsh, Thomas J.
Venue: Clinical Microbiology Reviews
Publisher: American Society for Microbiology
Published: 2008-01
Volume: 21
Issue: 1
Pages: 157-197
ISSN: 0893-8512 (ISSN-L)
1098-6618
DOI: 10.1128/cmr.00039-07
PMC: PMC2223844
OpenAlex: W2158059832
Cited by: 786
References: 497
Citations by year: 2026: 31 · 2025: 47 · 2024: 52 · 2023: 59 · 2022: 29 · 2021: 42 · 2020: 48 · 2019: 36 · 2018: 35 · 2017: 68 · 2016: 45 · 2015: 46 · 2014: 41 · 2013: 50 · 2012: 31
FWCI: 4.83
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: journals.asm.org/non-commercial-tdm-license (tdm)
Locations: Clinical Microbiology Reviews (publishedVersion)
Europe PMC (PubMed Central) (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Infectious Diseases › Antifungal resistance and susceptibility
Health Sciences › Medicine › Epidemiology › Fungal Infections and Studies
Health Sciences › Medicine › Microbiology › Actinomycetales infections and treatment
Keywords: Scedosporium, Scedosporium apiospermum, Scedosporium prolificans, Pseudallescheria boydii, invasive fungal infections, immunocompromised patients, mycetoma, sinopulmonary infections, disseminated fungal infection, central nervous system infection, near-drowning, molecular taxonomy, pathogenesis, innate host defense, surgical debridement, molecular detection
MeSH terms: Administration, Inhalation, Animals, Antifungal Agents, Arthritis, Bone Diseases, Infectious, Humans, Immunosuppressive Agents, Mycetoma, Microbial Sensitivity Tests, Phylogeny, Respiratory Tract Infections, Eye Infections, Fungal, Immunocompromised Host, Central Nervous System Fungal Infections, Scedosporium, Biodiversity

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