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Pedrosa AF, Lisboa C, Rodrigues AG. Malassezia infections with systemic involvement: Figures and facts. J Dermatol 2018; 45:1278-1282. [PMID: 30264900 DOI: 10.1111/1346-8138.14653] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2018] [Accepted: 08/14/2018] [Indexed: 11/29/2022]
Abstract
Malassezia are lipophilic and commensal yeasts capable of inducing skin disease among susceptible hosts. However, severely immunocompromised patients and preterm infants admitted to intensive care units are particularly at risk of developing Malassezia systemic infections. Patients often have central venous catheters which are usually the portal of entry for colonization and infection. In addition to the clinically non-specific findings, a delay in the laboratorial diagnosis may occur as there is often the need to add lipid supplementation to culture in order to support these organisms' growth. Herein, we report three unrelated cases of Malassezia bloodstream infection at a university hospital during a 2-year period, followed by a discussion of the clinical results and comparison with the most recently available published data on epidemiology and risk factors, pathogenesis, diagnosis, susceptibility profile and treatment.
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Affiliation(s)
- Ana Filipa Pedrosa
- Division of Microbiology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal.,CINTESIS, Centre for Health Technology and Services Research, Faculty of Medicine of the University of Porto, Porto, Portugal
| | - Carmen Lisboa
- Division of Microbiology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal.,Department of Dermatology and Venereology, Centro Hospitalar São João EPE, Porto, Portugal.,CINTESIS, Centre for Health Technology and Services Research, Faculty of Medicine of the University of Porto, Porto, Portugal
| | - Acácio Gonçalves Rodrigues
- Division of Microbiology, Department of Pathology, Faculty of Medicine, University of Porto, Porto, Portugal.,CINTESIS, Centre for Health Technology and Services Research, Faculty of Medicine of the University of Porto, Porto, Portugal.,Burn Unit, Department of Plastic and Reconstructive Surgery, Centro Hospitalar São João EPE, Porto, Portugal
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Prohic A, Jovovic Sadikovic T, Krupalija-Fazlic M, Kuskunovic-Vlahovljak S. Malasseziaspecies in healthy skin and in dermatological conditions. Int J Dermatol 2015; 55:494-504. [DOI: 10.1111/ijd.13116] [Citation(s) in RCA: 122] [Impact Index Per Article: 13.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2015] [Revised: 03/17/2015] [Accepted: 06/09/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Asja Prohic
- Department of Dermatovenereology; University Clinical Center of Sarajevo; Sarajevo Bosnia and Herzegovina
| | - Tamara Jovovic Sadikovic
- Department of Dermatovenereology; University Clinical Center of Sarajevo; Sarajevo Bosnia and Herzegovina
| | - Mersiha Krupalija-Fazlic
- Department of Dermatovenereology; University Clinical Center of Sarajevo; Sarajevo Bosnia and Herzegovina
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