The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
권호 표지

A Case of Scedosporium Apiospermum Pneumonia in an Immunocompetent Patient

면역기능이 정상 환자에서 발병한 Scedosporium Apiospermum 폐렴 1예

  • Kim, Yu-Jin (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Hospital) ;
  • Kim, Sei-Hyun (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Hospital) ;
  • Jeong, Sung-Hwan (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Hospital) ;
  • Park, Soon-Ho (Laboratory Medicine, Gachon University Gil Hospital) ;
  • Seo, Yiel-Hea (Laboratory Medicine, Gachon University Gil Hospital) ;
  • Kyung, Sun-Young (Division of Pulmonology, Department of Internal Medicine, Gachon University Gil Hospital)
  • 김유진 (가천의대 길병원 호흡기내과) ;
  • 김세현 (가천의대 길병원 호흡기내과) ;
  • 정성환 (가천의대 길병원 호흡기내과) ;
  • 박순호 (가천의대 길병원 진단검사의학과) ;
  • 서일혜 (가천의대 길병원 진단검사의학과) ;
  • 경선영 (가천의대 길병원 호흡기내과)
  • Published : 2011.11.01
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Abstract

Scedosporium apiospermum, an asexual form of Pseudallescheria boydii, is a saprophytic mold with a worldwide distribution. It may cause severe pulmonary or disseminated infections in immunocompromised patients who have undergone organ transplantation, have hematological malignancies, or have received corticosteroid therapy. However, in immunocompetent patients, it usually produces localized infection and has been reported to cause pneumonia after near-drowning in polluted water. We present here the case of an immunocompetent 72-year-old woman with pneumonia caused by S. apiospermum.

S. apiospermum는 Pseudallescheria boydii 형태의 무성생식 세대이며, 토양이나 물 등의 자연계에 널리 분포하는 사상균이다. 혈액학적 악성종양, 이식 등과 같은 면역억제된 환자들에서 심한 폐렴이나 파종성 감염을 일으킨다. 그러나 정상 면역을 가진 환자들에서는 국소적 감염만을 발생시켜왔고, 오염된 물에 빠진 경우 감염이 보고되었다. 본 증례는 국내에서는 아직 보고되지 않았던 정상 면역을 가지고 있는 환자에서 S. apiospermum 폐감염을 경험하였기에 문헌고찰과 함께 보고하는 바이다.

Keywords

References

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