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CASE REPORTS

Invasive Scytalidium dimidiatum Infection in an Immunocompetent Adult

Hila Elinav, Uzi Izhar, Shmuel Benenson, Dan Admon, Carlos Hidalgo-Grass, Itzhack Polacheck, Maya Korem
Hila Elinav
1Department of Clinical Microbiology and Infectious Diseases
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Uzi Izhar
2Department of Cardiothoracic Surgery
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Shmuel Benenson
1Department of Clinical Microbiology and Infectious Diseases
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  • For correspondence: Benenson@Hadassah.org.il
Dan Admon
3Department of Cardiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
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Carlos Hidalgo-Grass
1Department of Clinical Microbiology and Infectious Diseases
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Itzhack Polacheck
1Department of Clinical Microbiology and Infectious Diseases
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Maya Korem
1Department of Clinical Microbiology and Infectious Diseases
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DOI: 10.1128/JCM.01874-08
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    FIG. 1.

    (A) Calcofluor staining of the pleural effusion, demonstrating septate hyphae. (B) Culture on blood agar, demonstrating young white mold. (C) Culture on Sabouraud dextrose agar, demonstrating mature effuse hairy colonies, dark gray to blackish brown. (D) Microscopic examination demonstrating septate hyphae with constrictions at their prominent thick septations, giving the appearance of pseudohyphae.

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  • TABLE 1.

    Case reports of patients with invasive Scytalidium dimidiatum infection

    Source (reference)Age (yr)/sexYrCountryClinical formImmune statusTreatmentbOutcome
    Tan et al. (21)31/M2008CanadaCNSa abscessRenal transplantVoriconazoleDied
    Mani et al. (15)18/M2008IndiaCNS abscessImmune competentAmpho B/posaconazolecDied
    Sadeghi Tari et al. (20)60/M2005IranEndophthalmitisPosttrauma + diabetes + cirrhosisAmpho BDied
    Willinger et al. (24)62/M2004AustriaSkin + vertebra + lungsRenal transplantationAmpho B/voriconazoledDied
    Geramishoar et al. (10)17/M2004IranCNS abscessImmunosuppressive therapyAmpho BDied
    Dunn et al. (6)51/F2003United StatesSinusitisLung transplantationAmpho B/voriconazoledCured
    Gumbo et al. (11)60/M2002ZimbabweEndophthalmitisPosttrauma + diabetes + cirrhosisKetoconazoleCured
    al-Rajhi et al. (1)46/M1993Saudi ArabiaEndophthalmitisPosttraumaIO miconazole + Ampho B; Top. natamycin + Ampho BEnucleation
    Benne et al. (3)13/M1993The NetherlandsBacteremiaChemotherapyAmpho BCured
    Present case56/M2007IsraelEmpyemaImmune competentVoriconazoleAlive
    • ↵ a CNS, central nervous system.

    • ↵ b Ampho B, amphotericin B; IO, intraocular; Top., topical.

    • ↵ c Amphotericin B was changed to posaconazole.

    • ↵ d Amphotericin B was changed to voriconazole.

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Invasive Scytalidium dimidiatum Infection in an Immunocompetent Adult
Hila Elinav, Uzi Izhar, Shmuel Benenson, Dan Admon, Carlos Hidalgo-Grass, Itzhack Polacheck, Maya Korem
Journal of Clinical Microbiology Apr 2009, 47 (4) 1259-1263; DOI: 10.1128/JCM.01874-08

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Invasive Scytalidium dimidiatum Infection in an Immunocompetent Adult
Hila Elinav, Uzi Izhar, Shmuel Benenson, Dan Admon, Carlos Hidalgo-Grass, Itzhack Polacheck, Maya Korem
Journal of Clinical Microbiology Apr 2009, 47 (4) 1259-1263; DOI: 10.1128/JCM.01874-08
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KEYWORDS

Ascomycota
mycoses
Pleurisy

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