Scedosporium infections have become one of the most common cause of deep mold infections. It has also become a potentially dangerous causative agent of local and invasive infections in immunocompromised and occasionally in immunocompetent patients. It exhibits intrinsic resistance to many antifungals making the treatment difficult, thereby increasing the mortality. We present a case of an immunocompetent patient who came with a swelling on the left upper eyelid with a discharging sinus. A diagnosis of frontal lobe abscess was made and the mucopurulent discharge from the sinus was sent to the microbiology laboratory to know the etiology. The KOH wet mount of this discharge showed the presence of septate hyphal elements and the fungal culture yielded the growth of Scedosporium prolificans.The patient was treated with intravenous voriconazole to which he showed a favourable response.
This study contributes in the existing literature with various clinical manifestations of Scedosporium like osteomyelitis, lung infection and infection in the transplant patients. This study is one of very few studies as scedosporium causing frontal lobe abscess…is rare. The paper's primary contribution is finding out the various causes of infections manifesting as a central venous system infection. This study documents that Scedosporium can enter the CNS through nasal septum and can be treated with voriconazole.
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