Scedosporium apiospermum causing XXXX in a renal allograft recipient.

@entity1 @entity4014 @entity1269 @entity4 @entity281 @entity205 @entity18111 @entity779 @entity867
UNASSIGNED: Scedosporium apiospermum is the asexual form of a rare fungus Pseudallescheria boydii that is usually present in the soil, sewage and dirty water. In immunocompromised @entity1 , it is a rare @entity281 involving multiple organs. We present a case of renal allograft recipient who developed fever two weeks post renal transplant. He was initially found to have @entity779 . After five days, he became drowsy and developed right-sided @entity1269 . Magnetic resonance imaging of the brain revealed multiple irregular masses with associated @entity4 consistent with fungal brain abscesses. Left parietal abscess was drained and he was started on @entity18111 . His @entity205 was stopped. Drained pus revealed fungal hyphae on @entity4014 stain and Scedosporium apiospermum on culture. Unfortunately, the @entity1 died after five days. Scedosporium @entity281 should be kept as a possibility in transplant recipients with disseminated @entity281 , especially with a @entity867 . Despite antifungal therapy and surgical drainage, mortality rates are high.
