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Pulmonary scedosporiosis caused by Lomentospora prolificans in an immunocompetent patient: a rare case report.
International Journal of Infectious Diseases : IJID 2023 March 23
Infections with Scedosporium and Lomentospora species are usually found in immunodeficient patients, particularly in the transplant population. However, they are relatively rare in immunocompetent patients, which is especially useful in ruling out near-drowning and aspiration situations. Here, we report a case of an immunocompetent patient with clinically suspected community-acquired pneumonia caused by Lomentospora prolificans detected by metagenomics next-generation sequencing (mNGS) and polymerase chain reaction from bronchoalveolar lavage fluid. This case highlights mNGS in the clinical diagnosis of pulmonary invasive fungal disease. mNGS is proposed as an important adjunctive diagnostic approach for rare pathogens.
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