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Transpl Infect Dis. 2012 Apr;14(2):188-91. doi: 10.1111/j.1399-3062.2011.00679.x. Epub 2011 Sep 28.

Scedosporium apiospermum atrial mycetomas after lung transplantation for cystic fibrosis.

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Department of Cardiac Surgery, University of Rome Sapienza, Rome, Italy.


A 37-year-old patient with cystic fibrosis underwent double lung transplantation. She developed disseminated Scedosporium apiospermum infection 2 months after surgery. Along with multiple brain abscesses, lung infection, and chorioretinitis, a cardiac echo revealed 2 large intra-atrial mycetomas floating close to the right upper pulmonary vein orifice. The mycetomas were removed through a trans-atrial approach under cardiopulmonary by pass; histology and cultures confirmed the diagnosis. Despite intensive treatment, the patient succumbed from massive brain hemorrhage on the 10th postoperative day.

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