A fungus, includes S. apiospermum, S. prolificans (inflatum).
More common in temperate areas, it has been found in soil, animals and "brackish water and saltwater, sewage, soil, swamps, coastal tidelands, manure of poultry (chicken coop, bird guano) and cattle, and bat feces (PubMed). "
Infections in near drowning.
Debride as much as is humanly possible.
Usually resistant to amphotericin B, fluconazole, intermediate to caspofungin. In one series, if susceptible, about 60% of patients responded to long term voriconazole (PubMed), esp if they were infected with Scedosporium prolificans.
Relevant links to my Medscape blog
Last Update: 05/22/18.