Delayed cerebral abscess caused by Scedosporium apiospermum following fecal pit near-drowning.

Scedosporium apiospermum is an opportunistic mold commonly found in sewage and contaminated water and may cause invasive infection after near-drowning, even in immunocompetent individuals. We report a 57-year-old man who developed severe aspiration pneumonia after septic pit near-drowning and initially improved with supportive treatment. On day 49, he presented with headache, and imaging revealed a left frontal brain abscess. Surgical intervention combined with voriconazole therapy resulted in a favorable outcome.