<i>Scedosporium prolificans </i>による真菌血症を起こした骨髄異形成症候群の 1 症例:スケドスポリウム症を合併したMDS [in Japanese] Fungemia Caused by <i>Scedosporium prolificans </i>in Myelodysplastic Syndrome [in Japanese]
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We report a case of fungemia caused by <i>Scedosporium prolificans</i>, an emerging pathogen. An 83-year-old man with myelodysplastic syndrome (MDS) and agranulocytosis was admitted for pneumonia in January 2009. He was treated with meropenem, minocycline, and <tt>γ</tt>-globulin for pneumonia and G-CSF and platelet transfusion for MDS. Although he recovered from pneumonia as neutrophil count increased, intermittent fever continued. <BR> On hospital day 17, blood culture yielded fungal colonies indicating <i>S. prolificans</i>. Voriconazole was started immediately, but the manʼs general condition deteriorated with cerebral infarction and he died of cerebral hemorrhage on hospital day 65. <BR> Attention must therefore be paid to the increasing scedosporiosis incidence in Japan.
- Kansenshogaku Zasshi
Kansenshogaku Zasshi 86(1), 22-26, 2012
The Japanese Association for Infectious Diseases