TY - JOUR
T1 - Scedosporium and Lomentospora: An updated overview of underrated opportunists
AU - Ramirez-Garcia, Andoni
AU - Pellon, Aize
AU - Rementeria, Aitor
AU - Buldain, Idoia
AU - Barreto-Bergter, Eliana
AU - Rollin-Pinheiro, Rodrigo
AU - De Meirelles, Jardel Vieira
AU - Xisto, Mariana Ingrid D.S.
AU - Ranque, Stephane
AU - Havlicek, Vladimir
AU - Vandeputte, Patrick
AU - Govic, Yohann Le
AU - Bouchara, Jean Philippe
AU - Giraud, Sandrine
AU - Chen, Sharon
AU - Rainer, Johannes
AU - Alastruey-Izquierdo, Ana
AU - Martin-Gomez, Maria Teresa
AU - López-Soria, Leyre M.
AU - Peman, Javier
AU - Schwarz, Carsten
AU - Bernhardt, Anne
AU - Tintelnot, Kathrin
AU - Capilla, Javier
AU - Martin-Vicente, Adela
AU - Cano-Lira, Jose
AU - Nagl, Markus
AU - Lackner, Michaela
AU - Irinyi, Laszlo
AU - Meyer, Wieland
AU - De Hoog, Sybren
AU - Hernando, Fernando L.
PY - 2018/4/1
Y1 - 2018/4/1
N2 - Species of Scedosporium and Lomentospora are considered as emerging opportunists, affecting immunosuppressed and otherwise debilitated patients, although classically they are known from causing trauma-associated infections in healthy individuals. Clinical manifestations range from local infection to pulmonary colonization and severe invasive disease, in which mortality rates may be over 80%. These unacceptably high rates are due to the clinical status of patients, diagnostic difficulties, and to intrinsic antifungal resistance of these fungi. In consequence, several consortia have been founded to increase research efforts on these orphan fungi. The current review presents recent findings and summarizes the most relevant points, including the Scedosporium/Lomentospora taxonomy, environmental distribution, epidemiology, pathology, virulence factors, immunology, diagnostic methods, and therapeutic strategies.
AB - Species of Scedosporium and Lomentospora are considered as emerging opportunists, affecting immunosuppressed and otherwise debilitated patients, although classically they are known from causing trauma-associated infections in healthy individuals. Clinical manifestations range from local infection to pulmonary colonization and severe invasive disease, in which mortality rates may be over 80%. These unacceptably high rates are due to the clinical status of patients, diagnostic difficulties, and to intrinsic antifungal resistance of these fungi. In consequence, several consortia have been founded to increase research efforts on these orphan fungi. The current review presents recent findings and summarizes the most relevant points, including the Scedosporium/Lomentospora taxonomy, environmental distribution, epidemiology, pathology, virulence factors, immunology, diagnostic methods, and therapeutic strategies.
KW - emergent
KW - fungi
KW - infection
KW - pathogen
U2 - 10.1093/mmy/myx113
DO - 10.1093/mmy/myx113
M3 - Article
C2 - 29538735
SN - 1369-3786
VL - 56
SP - S102-S125
JO - Medical Mycology
JF - Medical Mycology
ER -