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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Autores principales: Abdullah Nasif, MD, Daniel Siebenaller, PA-C, Armelle DeRiso, MD, Haroon Shah, DO, Samer Alharthi, MD, Munier Nazzal, MD, MBA
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Publicado: Elsevier 2021
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic Mycosis
Infections
Aneurysm
Infected
Immunocompromised host
Scedosporium
Surgery
RD1-811
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle 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
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