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  • Title: Scedosporium apiospermum atrial mycetomas after lung transplantation for cystic fibrosis.
    Author: Miraldi F, Anile M, Ruberto F, Tritapepe L, Puglese F, Quattrucci S, Messina T, Vitolo D, Venuta F.
    Journal: Transpl Infect Dis; 2012 Apr; 14(2):188-91. PubMed ID: 22093620.
    Abstract:
    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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