Case Report
Published: Oct 04, 2025 | DOI: 10.24911/ejmcr.9-2286
Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection
Authors: Frank Mulindwa , Hadia Waheed , Rashid Manahil , Shema Christine , Yuktha Shanavas , Brittany Naso , Jones Zachary
Article Info
Authors
Frank Mulindwa
Department of Internal Medicine, United Health Services, New York, NY, USA
Hadia Waheed
Department of Internal Medicine, United Health Services, New York, NY, USA
Rashid Manahil
Department of Internal Medicine, United Health Services, New York, NY, USA
Shema Christine
Department of Pediatrics, Mulago Hospital, Kampala, Uganda
Yuktha Shanavas
Medical School, SUNY Upstate Medical University, New York, NY, USA
Brittany Naso
United Health Services, Wilson Hospital, New York
Jones Zachary
Department of Internal Medicine, United Health Services, New York, NY, USA
Publication History
Received: July 16, 2025
Accepted: September 04, 2025
Published: October 04, 2025
Abstract
Background: Scedosporium spp is an established cause of multisystemic clinical disease in immunocompromised patients. Invasive lung disease has been reported in immunocompetent hosts, the majority of whom have pre-existent structural lung disease.
Case Presentation: We present a case of a 31-year-old African American man who presented with cough and hemoptysis for four months. Lung imaging revealed bilateral multilobar cavitary infiltrates. Bronchial alveolar lavage fungal cultures resulted in positive for Scedosporium spp. Work up for alternative causes of cavitary pneumonias, including Mycobacterium tuberculosis, as well as immunodeficiency syndromes, was negative. He achieved complete symptom resolution with radiological improvement on voriconazole therapy.
Conclusion: Scedosporium spp is emerging as a possible rare cause of cavitary pneumonias in immunocompetent patients without pre-existing lung disease. An accurate diagnosis is important as treatment involves a long course of antifungal therapy
Keywords: Scedosporium spp, cavitary pneumonia, immunocompetent host
Pubmed Style
Frank Mulindwa, Hadia Waheed, Rashid Manahil, Shema Christine, Yuktha Shanavas, Brittany Naso, Jones Zachary. Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection. EJMCR. 2025; 04 (October 2025): -. doi:10.24911/ejmcr.9-2286
Web Style
Frank Mulindwa, Hadia Waheed, Rashid Manahil, Shema Christine, Yuktha Shanavas, Brittany Naso, Jones Zachary. Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection. https://ejmcr.com/articles/2286 [Access: October 14, 2025]. doi:10.24911/ejmcr.9-2286
AMA (American Medical Association) Style
Frank Mulindwa, Hadia Waheed, Rashid Manahil, Shema Christine, Yuktha Shanavas, Brittany Naso, Jones Zachary. Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection. EJMCR. 2025; 04 (October 2025): -. doi:10.24911/ejmcr.9-2286
Vancouver/ICMJE Style
Frank Mulindwa, Hadia Waheed, Rashid Manahil, Shema Christine, Yuktha Shanavas, Brittany Naso, Jones Zachary. Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection. EJMCR. (2025), [cited October 14, 2025]; 04 (October 2025): -. doi:10.24911/ejmcr.9-2286
Harvard Style
Frank Mulindwa, Hadia Waheed, Rashid Manahil, Shema Christine, Yuktha Shanavas, Brittany Naso, Jones Zachary (2025) Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection. EJMCR, 04 (October 2025): -. doi:10.24911/ejmcr.9-2286
Chicago Style
Frank Mulindwa, Hadia Waheed, Rashid Manahil, Shema Christine, Yuktha Shanavas, Brittany Naso, Jones Zachary. "Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection." 04 (2025), -. doi:10.24911/ejmcr.9-2286
MLA (The Modern Language Association) Style
Frank Mulindwa, Hadia Waheed, Rashid Manahil, Shema Christine, Yuktha Shanavas, Brittany Naso, Jones Zachary. "Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection." 04.October 2025 (2025), -. Print. doi:10.24911/ejmcr.9-2286
APA (American Psychological Association) Style
Frank Mulindwa, Hadia Waheed, Rashid Manahil, Shema Christine, Yuktha Shanavas, Brittany Naso, Jones Zachary (2025) Bilateral multilobar cavitary pneumonia in an immunocompetent host. A case report of invasive pulmonaryScedosporium spp infection. , 04 (October 2025), -. doi:10.24911/ejmcr.9-2286