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解析法国枝动孢属和繁茂枝孢霉真菌感染的意外血管位置。

Deciphering Unexpected Vascular Locations of Scedosporium spp. and Lomentospora prolificans Fungal Infections, France.

出版信息

Emerg Infect Dis. 2024 Jun;30(6):1077-1087. doi: 10.3201/eid3006.231409.


DOI:10.3201/eid3006.231409
PMID:38781681
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11138966/
Abstract

Scedosporium spp. and Lomentospora prolificans are emerging non-Aspergillus filamentous fungi. The Scedosporiosis/lomentosporiosis Observational Study we previously conducted reported frequent fungal vascular involvement, including aortitis and peripheral arteritis. For this article, we reviewed 7 cases of Scedosporium spp. and L. prolificans arteritis from the Scedosporiosis/lomentosporiosis Observational Study and 13 cases from published literature. Underlying immunosuppression was reported in 70% (14/20) of case-patients, mainly those who had solid organ transplants (10/14). Osteoarticular localization of infection was observed in 50% (10/20) of cases; infections were frequently (7/10) contiguous with vascular infection sites. Scedosporium spp./Lomentospora prolificans infections were diagnosed in 9 of 20 patients ≈3 months after completing treatment for nonvascular scedosporiosis/lomentosporiosis. Aneurysms were found in 8/11 aortitis and 6/10 peripheral arteritis cases. Invasive fungal disease--related deaths were high (12/18 [67%]). The vascular tropism of Scedosporium spp. and L. prolificans indicates vascular imaging, such as computed tomography angiography, is needed to manage infections, especially for osteoarticular locations.

摘要

鞘孢菌属和繁茂鞘丝单胞菌是新兴的非曲霉丝状真菌。我们之前进行的鞘菌病/繁茂鞘丝菌病观察性研究报告称,这些真菌常引起血管受累,包括动脉炎和外周动脉炎。在本文中,我们回顾了来自鞘菌病/繁茂鞘丝菌病观察性研究的 7 例鞘孢菌属和繁茂鞘丝单胞菌动脉炎病例,以及来自文献的 13 例病例。70%(14/20)的患者存在潜在免疫抑制,主要是接受实体器官移植的患者(10/14)。50%(10/20)的病例存在骨关节炎定位感染;7/10 的感染与血管感染部位相邻。20 例患者中的 9 例(9/20)在完成非血管性鞘菌病/繁茂鞘丝菌病治疗 ≈3 个月后被诊断为鞘孢菌属/繁茂鞘丝单胞菌感染。11 例主动脉炎中有 8 例(8/11)和 10 例外周动脉炎中有 6 例(6/10)发现动脉瘤。侵袭性真菌病相关死亡率很高(12/18 [67%])。鞘孢菌属和繁茂鞘丝单胞菌的血管趋向性表明需要进行血管成像,如计算机断层血管造影,以管理感染,特别是对于骨关节炎部位。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/aa905d7b01d2/23-1409-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/0dc3229de112/23-1409-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/02727e00b96b/23-1409-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/9aa1d352a870/23-1409-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/dd35339275e6/23-1409-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/aa905d7b01d2/23-1409-F5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/0dc3229de112/23-1409-F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/02727e00b96b/23-1409-F2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/9aa1d352a870/23-1409-F3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/dd35339275e6/23-1409-F4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d8d/11138966/aa905d7b01d2/23-1409-F5.jpg

相似文献

[1]
Deciphering Unexpected Vascular Locations of Scedosporium spp. and Lomentospora prolificans Fungal Infections, France.

Emerg Infect Dis. 2024-6

[2]
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[3]
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[4]
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[5]
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Int J Infect Dis. 2019-12-19

[6]
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[7]
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[8]
and Effect of the Imidazole Luliconazole against and spp.

Microbiol Spectr. 2023-6-15

[9]
Invasive bone and joint infections from the French Scedosporiosis/lomentosporiosis Observational Study (SOS) cohort: no mortality with long-term antifungal treatment and surgery.

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[10]
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本文引用的文献

[1]
Invasive bone and joint infections from the French Scedosporiosis/lomentosporiosis Observational Study (SOS) cohort: no mortality with long-term antifungal treatment and surgery.

Med Mycol. 2023-3-2

[2]
Retrospective Multicenter Study Comparing Infectious and Noninfectious Aortitis.

Clin Infect Dis. 2023-2-8

[3]
Disseminated lomentosporiosis in a heart transplant recipient: Case report and review of the literature.

Transpl Infect Dis. 2021-8

[4]
Scedosporiosis/lomentosporiosis observational study (SOS): Clinical significance of Scedosporium species identification.

Med Mycol. 2021-5-4

[5]
Invasive Scedosporium and Lomentosora infections in the era of antifungal prophylaxis: A 20-year experience from a single centre in Spain.

Mycoses. 2020-11

[6]
Clinical characteristics and outcomes of invasive Lomentospora prolificans infections: Analysis of patients in the FungiScope registry.

Mycoses. 2020-4-15

[7]
Invasive Scedosporium spp. and Lomentospora prolificans infections in pediatric patients: Analysis of 55 cases from FungiScope® and the literature.

Int J Infect Dis. 2019-12-19

[8]
Revision and Update of the Consensus Definitions of Invasive Fungal Disease From the European Organization for Research and Treatment of Cancer and the Mycoses Study Group Education and Research Consortium.

Clin Infect Dis. 2020-9-12

[9]
[Scedosporium apiospermum infection in a kidney transplant recipient].

Rev Iberoam Micol. 2019

[10]
Diffuse inflammatory aneurysmal aortitis secondary to Scedosporium apiospermum complex in an immunocompetent individual.

Pathology. 2019-4

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