Disseminated Lomentospora prolificans infection presenting with arterial exsanguination
Lomentospora prolificans is an opportunistic fungal pathogen found especially in Australia, Spain, Portugal, California, and the southern United States. Although it causes a wide spectrum of infections, disseminated L. prolificans infection remains very rare. The diagnosis and medical management are...
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2021
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oai:doaj.org-article:3daee6c995144ee19574f5f07edbb8502021-11-22T04:28:24ZDisseminated Lomentospora prolificans infection presenting with arterial exsanguination2468-428710.1016/j.jvscit.2021.08.009https://doaj.org/article/3daee6c995144ee19574f5f07edbb8502021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2468428721001532https://doaj.org/toc/2468-4287Lomentospora prolificans is an opportunistic fungal pathogen found especially in Australia, Spain, Portugal, California, and the southern United States. Although it causes a wide spectrum of infections, disseminated L. prolificans infection remains very rare. The diagnosis and medical management are challenging. No clear guidelines are available for management. The treatment options are limited and mortality is high, especially for immunocompromised patients. In the present case report, we have highlighted the rare vascular effect of disseminated L. prolificans infection. We have reported the case of a 48-year-old immunocompromised man who had presented with a right groin mass. After extensive workup, the patient was found to have disseminated L. prolificans infection causing a superficial femoral artery pseudoaneurysm. A multidisciplinary team was involved to provide medical and surgical care. However, the patient died after treatment failure and withdrawal of support.Abdullah Nasif, MDDaniel Siebenaller, PA-CArmelle DeRiso, MDHaroon Shah, DOSamer Alharthi, MDMunier Nazzal, MD, MBAElsevierarticleMycosisInfectionsAneurysmInfectedImmunocompromised hostScedosporiumSurgeryRD1-811Diseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of Vascular Surgery Cases and Innovative Techniques, Vol 7, Iss 4, Pp 785-789 (2021) |
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DOAJ |
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Mycosis Infections Aneurysm Infected Immunocompromised host Scedosporium Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 |
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Mycosis Infections Aneurysm Infected Immunocompromised host Scedosporium Surgery RD1-811 Diseases of the circulatory (Cardiovascular) system RC666-701 Abdullah Nasif, MD Daniel Siebenaller, PA-C Armelle DeRiso, MD Haroon Shah, DO Samer Alharthi, MD Munier Nazzal, MD, MBA Disseminated Lomentospora prolificans infection presenting with arterial exsanguination |
description |
Lomentospora prolificans is an opportunistic fungal pathogen found especially in Australia, Spain, Portugal, California, and the southern United States. Although it causes a wide spectrum of infections, disseminated L. prolificans infection remains very rare. The diagnosis and medical management are challenging. No clear guidelines are available for management. The treatment options are limited and mortality is high, especially for immunocompromised patients. In the present case report, we have highlighted the rare vascular effect of disseminated L. prolificans infection. We have reported the case of a 48-year-old immunocompromised man who had presented with a right groin mass. After extensive workup, the patient was found to have disseminated L. prolificans infection causing a superficial femoral artery pseudoaneurysm. A multidisciplinary team was involved to provide medical and surgical care. However, the patient died after treatment failure and withdrawal of support. |
format |
article |
author |
Abdullah Nasif, MD Daniel Siebenaller, PA-C Armelle DeRiso, MD Haroon Shah, DO Samer Alharthi, MD Munier Nazzal, MD, MBA |
author_facet |
Abdullah Nasif, MD Daniel Siebenaller, PA-C Armelle DeRiso, MD Haroon Shah, DO Samer Alharthi, MD Munier Nazzal, MD, MBA |
author_sort |
Abdullah Nasif, MD |
title |
Disseminated Lomentospora prolificans infection presenting with arterial exsanguination |
title_short |
Disseminated Lomentospora prolificans infection presenting with arterial exsanguination |
title_full |
Disseminated Lomentospora prolificans infection presenting with arterial exsanguination |
title_fullStr |
Disseminated Lomentospora prolificans infection presenting with arterial exsanguination |
title_full_unstemmed |
Disseminated Lomentospora prolificans infection presenting with arterial exsanguination |
title_sort |
disseminated lomentospora prolificans infection presenting with arterial exsanguination |
publisher |
Elsevier |
publishDate |
2021 |
url |
https://doaj.org/article/3daee6c995144ee19574f5f07edbb850 |
work_keys_str_mv |
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