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Pásztor-Bazsó V, Kelemen Á, Varga Á, Farkas M, Puskás N, Kassa C, Hauser P. [First Hungarian report of Geotrichum capitatum/Saprochaete capitata infection in an immunocompromised child]. Orv Hetil 2023; 164:1034-1038. [PMID: 37393545 DOI: 10.1556/650.2023.32799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Accepted: 04/05/2023] [Indexed: 07/04/2023]
Abstract
Patients with leukemia may occasionally suffer from rare opportunistic fungal infections with poor prognosis. Fungal infection caused by Geotrichum captitatum has not yet been described in Hungary. With this case report, we would like to draw attention to the fungal infection caused by G. capitatum. The 1.5-year-old girl with acute myeloid leukemia was treated for relapse diagnosed +120 days after a sibling donor bone marrow transplantation. High-grade, fluctuating fever began 11 days after the start of chemotherapy which did not decrease despite combined treatment with broad-spectrum antibiotics and antifungals (posaconasole). Due to worsening respiratory symptoms, a chest CT-scan was performed, raising suspicion of an invasive fungal infection. Blood culture confirmed G. capitatum infection. Initial empiric treatment with liposomal amphotericin B was combined with voriconazole based on international experience. However, we did not observe any improvement, and a few days later the patient passed away due to progression of the underlying disease. G. capitatum (presently known as Saprochaete capitata) is an ubiquitous yeast that can cause an infection with a poor prognosis, mainly in patients with leukemia. Its symptoms primarily appear in the skin and respiratory tract. The accurate identification of this pathogen is essential because the standard diagnostic tests do not give a specific reaction. Based on the limited international experience, the combination of amphotericin B and voriconazole can play a fundamental role in the treatment, however, even with adequate therapy 50% of the cases are fatal. By describing the first Hungarian case caused by G. capitatum, we draw attention to the importance of this rare, opportunistic fungal species with a poor prognosis that develops in immunosuppressed patients. Orv Hetil. 2023; 164(26): 1034-1038.
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Affiliation(s)
- Viktória Pásztor-Bazsó
- 1 Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktatókórház, Velkey László Gyermekegészségügyi Központ Miskolc, Szentpéteri kapu 72-76., 3526 Magyarország
| | - Ágnes Kelemen
- 1 Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktatókórház, Velkey László Gyermekegészségügyi Központ Miskolc, Szentpéteri kapu 72-76., 3526 Magyarország
| | - Ágnes Varga
- 1 Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktatókórház, Velkey László Gyermekegészségügyi Központ Miskolc, Szentpéteri kapu 72-76., 3526 Magyarország
| | | | - Noémi Puskás
- 1 Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktatókórház, Velkey László Gyermekegészségügyi Központ Miskolc, Szentpéteri kapu 72-76., 3526 Magyarország
| | - Csaba Kassa
- 3 Dél-pesti Centrumkórház - Országos Hematológiai és Infektológiai Intézet Budapest Magyarország
| | - Péter Hauser
- 1 Borsod-Abaúj-Zemplén Megyei Központi Kórház és Egyetemi Oktatókórház, Velkey László Gyermekegészségügyi Központ Miskolc, Szentpéteri kapu 72-76., 3526 Magyarország
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Peng J, Li B, He X, Ding C. Lung infection caused by Blastoschizomyces capitatus without immunodeficiency: a case report and review of the literature. Ann Palliat Med 2022; 11:3826-3832. [PMID: 36636006 DOI: 10.21037/apm-22-1289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2022] [Accepted: 12/07/2022] [Indexed: 12/24/2022]
Abstract
BACKGROUND Blastoschizomyces capitatus infection is a rare fungal infection; mainly occurring in immunodeficient patients, which can cause multiple organ involvement. At present, there is no clear designated treatment regimen. This case was a rare example of Blastoschizomyces capitatus lung infection in patient with normal immune function, which was effectively controlled by combined antifungal therapy. CASE DESCRIPTION We report a 67-year-old male smoker, who, after cleaning a small bungalow for a long period, without any protective measures, developed cough with expectoration, fever and dyspnea. Pre-admission anti-infective medication (amoxicillin and roxithromycin) had little effect, and the patient's condition worsened. He had a past history of pulmonary tuberculosis with pleurisy 6 years before. Chest computed tomography (CT) showed evidence of old tuberculosis in the right upper lobe and inflammation in both lower lobes. White blood cell count was 14.51×109/L, neutrophils was 13.39×109/L and C-reactive protein (CRP) was 170 mg/L. Broad-spectrum antibiotics piperacillin sodium 4.0 g and tazobactam sodium 0.5 g q8h were administered empirically for 5 days. Blastoschizomyces capitatus infection was confirmed by next generation of macro genome sequencing (NGS) of bronchoalveolar lavage fluid and mass spectrum analysis of sputum. He was then switched to voriconazole antifungal therapy combined with aerosol inhalation of amphotericin B. His temperature normalized, expectoration and dyspnea were relieved. Total white cell count fell to 8.10×109/L, neutrophils to 5.81×109/L, and CRP to 76.8 mg/L. CONCLUSIONS This case demonstrates that Blastoschizomyces capitatus infection can occur in patients with normal immune function. Mass spectrometry and metagenomic NGS methods may have an advantage over traditional methods in identifying this fungal infection. In addition, the combination of voriconazole and nebulized amphotericin B can be employed as a novel regimen for treating Blastoschizomyces capitatus infection. For pulmonary infection with a history of environmental exposure, early pathogen identification and culture, and appropriate antibiotic treatment are key to optimizing outcome.
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Affiliation(s)
- Jingcui Peng
- Department of Respiratory Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
| | - Bin Li
- Department of Respiratory Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
| | - Xin He
- Department of Respiratory Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
| | - Cuimin Ding
- Department of Respiratory Medicine, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China
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Ortiz-Álvarez J, Reséndiz-Sánchez J, Juárez-Montiel M, Hernández-García JA, Vázquez-Guerrero E, Hernández-Rodríguez C, Villa-Tanaca L. Invasive Fungal Infection Caused by Magnusiomyces capitatus in an Immunocompromised Pediatric Patient with Acute Lymphoblastic Leukemia in Mexico City: A Case Report. J Fungi (Basel) 2022; 8. [PMID: 36012839 DOI: 10.3390/jof8080851] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 08/05/2022] [Accepted: 08/12/2022] [Indexed: 11/17/2022] Open
Abstract
Magnusiomyces capitatus (also denominated “Geotrichum capitatum” and “the teleomorph stage of Saprochaete capitata”) mainly affects immunocompromised patients with hematological malignancies in rare cases of invasive fungal infections (IFIs). Few cases have been reported for pediatric patients with acute lymphoblastic leukemia (ALL), in part because conventional diagnostic methods do not consistently detect M. capitatus in infections. The current contribution describes a systemic infection in a 15-year-old female diagnosed with ALL. She arrived at the Children’s Hospital of Mexico City with a fever and neutropenia and developed symptoms of septic shock 4 days later. M. capitatus ENCB-HI-834, the causal agent, was isolated from the patient’s blood, urine, bile, and peritoneal fluid samples. It was identified with matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF MS) and a phylogenetic reconstruction using internal transcribed spacer (ITS) and 28S ribosomal sequences. The phylogenetic sequence of M. capitatus ENCB-HI-834 clustered with other M. capitatus-type strains with a 100% identity. In vitro antifungal testing, conducted with the Sensititre YeastOne susceptibility system, found the following minimum inhibitory concentration (MIC) values (μg/mL): posaconazole 0.25, amphotericin B 1.0, fluconazole > 8.0, itraconazole 0.25, ketoconazole 0.5, 5-flucytosine ≤ 0.06, voriconazole 0.25, and caspofungin > 16.0. No clinical breakpoints have been defined for M. capitatus. This is the first clinical case reported in Mexico of an IFI caused by M. capitatus in a pediatric patient with ALL. It emphasizes the importance of close monitoring for a timely and accurate diagnosis of neutropenia-related IFIs to determine the proper treatment with antibiotics, antifungals, and chemotherapy for instance including children with ALL.
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Seitler S, Bruce C, Rosendahl U, Crucerescu E, Shore D, Rybicka J, Semple T, Li W, Gatzoulis MA, Al-Sakini N. Don't Stop Beleafing: A Unique Case of Fungal Infective Endocarditis. JACC Case Rep 2021; 3:672-7. [PMID: 34317601 DOI: 10.1016/j.jaccas.2021.02.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 01/15/2021] [Accepted: 02/05/2021] [Indexed: 12/03/2022]
Abstract
We present the case of a 60-year-old man who was successfully treated for obstructive fungal infective endocarditis of the ascending aorta caused by Geotrichum capitatum. This extremely rare cause of fungal infective endocarditis required surgical and prolonged medical management, facilitated by effective multidisciplinary cooperation. (Level of Difficulty: Intermediate.)
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El Zein S, Hindy JR, Kanj SS. Invasive Saprochaete Infections: An Emerging Threat to Immunocompromised Patients. Pathogens 2020; 9:pathogens9110922. [PMID: 33171713 PMCID: PMC7694990 DOI: 10.3390/pathogens9110922] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Revised: 11/05/2020] [Accepted: 11/06/2020] [Indexed: 12/16/2022] Open
Abstract
Saprochaete clavata and Saprochaete capitata are emerging fungal pathogens that are responsible for life threatening infections in immunocompromised patients, particularly in the setting of profound neutropenia. They have been associated with multiple hospital outbreaks mainly in Europe. In this article, we present a comprehensive review of the epidemiology, clinical presentation, diagnosis, antifungal susceptibility and treatment of these organisms. The diagnosis of invasive Saprochaete disease is challenging and relies primarily on the isolation of the fungi from blood or tissue samples. Both species are frequently misidentified as they are identical macroscopically and microscopically. Internal transcribed spacer sequencing and matrix-assisted laser desorption ionization-time of flight mass spectrometry are useful tools for the differentiation of these fungi to a species level. Saprochaete spp. are intrinsically resistant to echinocandins and highly resistant to fluconazole. Current literature suggests the use of an amphotericin B formulation with or without flucytosine for the initial treatment of these infections. Treatment with extended spectrum azoles might be promising based on in vitro minimum inhibitory concentration values and results from case reports and case series. Source control and recovery of the immune system are crucial for successful therapy.
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Affiliation(s)
- Said El Zein
- Internal Medicine Department, Wayne State University/Detroit Medical Center, Detroit, MI 48201, USA;
| | - Joya-Rita Hindy
- Division of Infectious Diseases, Internal Medicine Department, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon;
| | - Souha S. Kanj
- Division of Infectious Diseases, Internal Medicine Department, American University of Beirut Medical Center, Beirut 1107 2020, Lebanon;
- Correspondence:
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Rota N, Danese C, Menchini F, Pignatto S, Peghin M, Bassetti M, Lanzetta P. Fungal Endogenous Endophthalmitis Secondary to Magnusiomyces capitatus. Case Rep Ophthalmol 2019; 10:292-298. [PMID: 31579116 PMCID: PMC6758721 DOI: 10.1159/000502412] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2019] [Accepted: 07/28/2019] [Indexed: 11/30/2022] Open
Abstract
We report the case of a 68-year-old immunocompetent patient with a dilatation of the ascending aorta, intraluminal vegetations, and pseudoaneurysmatic bulging who presented with unilateral fungal endogenous endophthalmitis 8 days after coronary angiogram. The isolated pathogen resulted to be Magnusiomyces capitatus, a filamentous, yeast-like fungus that can be commonly found in normal human microflora, with an immunosuppression-related pathogenicity. A literature research revealed a single case of ophthalmic infection – a keratitis – caused by this pathogen. Furthermore, we add a review of mycotic endophthalmitis related to aortic infection.
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Affiliation(s)
- Nestore Rota
- Department of Medicine - Ophthalmology, University of Udine, Udine, Italy
| | - Carla Danese
- Department of Medicine - Ophthalmology, University of Udine, Udine, Italy
| | - Francesca Menchini
- Department of Medicine - Ophthalmology, University of Udine, Udine, Italy
| | - Silvia Pignatto
- Department of Medicine - Ophthalmology, University of Udine, Udine, Italy
| | - Maddalena Peghin
- Department of Medicine - Infectious Diseases, University of Udine, Udine, Italy
| | - Matteo Bassetti
- Department of Medicine - Infectious Diseases, University of Udine, Udine, Italy
| | - Paolo Lanzetta
- Department of Medicine - Ophthalmology, University of Udine, Udine, Italy.,Istituto Europeo di Microchirurgia Oculare - IEMO, Udine, Italy
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D'Assumpcao C, Lee B, Heidari A. A Case of Magnusiomyces capitatus Peritonitis Without Underlying Malignancies. J Investig Med High Impact Case Rep 2018; 6:2324709618795268. [PMID: 30151397 PMCID: PMC6104205 DOI: 10.1177/2324709618795268] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2018] [Revised: 07/16/2018] [Accepted: 07/22/2018] [Indexed: 11/16/2022] Open
Abstract
Magnusiomyces capitatus is a rare cause of fungal infection in immunocompromised patients, mainly seen in hematological malignancies. M capitatus infections are extremely rare in immunocompetent patients, as it is part of normal human microbial flora. We are presenting an extremely rare case of M capitatus peritonitis in an otherwise immunocompetent patient who suffered from gastrointestinal leakage due to pancreatitis. Fungal identification was performed at reference laboratory by phenotypic characteristics and DNA sequencing of target internal transcribed spacer region of the rRNA gene and the D1-D2 domain of the large-subunit rRNA gene and susceptibility testing by Clinical and Laboratory Standards Institute guidelines (document M27-S4) broth dilution method. He was successfully treated with a combination of surgical repair and voriconazole single therapy.
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Affiliation(s)
- Carlos D'Assumpcao
- Ross University, Miramar, FL, USA.,Kern Medical-University of California Los Angeles, Bakersfield, CA, USA
| | - Benson Lee
- Kern Medical-University of California Los Angeles, Bakersfield, CA, USA
| | - Arash Heidari
- Kern Medical-University of California Los Angeles, Bakersfield, CA, USA
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8
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Tanabe MB, Patel SA. Blastoschizomyces capitatus pulmonary infections in immunocompetent patients: case report, case series and literature review. Epidemiol Infect 2018; 146:58-64. [PMID: 29198203 DOI: 10.1017/S0950268817002643] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022] Open
Abstract
Blastoschizomyces capitatus is an uncommon opportunistic yeast associated with infections in neutropaenic patients secondary to haematological malignancies, with a special predilection for the lungs. Globalisation and population migration impact on the epidemiology of infection with this organism but its effect on the immunocompetent population has rarely been described. We present here a case report, an overview of 11 other cases published between 2000 and 2016, and a comprehensive literature review of Blastoschizomyces pneumonia in the non-immunocompromised. The median age at diagnosis was 68 years (range 40-86 years) and more than half the cases reported a positive history of either current or past tobacco smoking. Six cases had either clinical or radiological evidence of chronic obstructive pulmonary disease and three had a history of prior treated tuberculosis. Fluconazole and itraconazole, alone or in combination, was the most utilised treatment. We conclude that unlike most other invasive yeast species, B. capitatus poses an infectious risk for immunocompetent patients, usually of middle to older age with risk factors for distorted lung architecture. Further research is warranted into the pathophysiology of Blastoschizomyces infections in the immunocompetent, including standardised treatment options.
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9
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Parahym AMRDC, Rolim Neto PJ, da Silva CM, Domingos IDF, Gonçalves SS, Leite EP, de Morais VLL, Macêdo DPC, de Lima Neto RG, Neves RP. Invasive infection due to Saprochaete capitata in a young patient with hematological malignancies. Braz J Microbiol 2015; 46:527-30. [PMID: 26273269 PMCID: PMC4507546 DOI: 10.1590/s1517-838246220120447] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Accepted: 11/28/2014] [Indexed: 12/04/2022] Open
Abstract
We report a case of invasive infection due to Saprochaete
capitata in a patient with hematological malignancies after
chemotherapy treatment and empiric antifungal therapy with caspofungin. Although
severely immunocompromised the patient survived been treated with amphotericin B
lipid complex associated with voriconazole.
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Affiliation(s)
- Ana Maria Rabelo de Carvalho Parahym
- Universidade Federal de Pernambuco, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brasil, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Pedro José Rolim Neto
- Universidade Federal de Pernambuco, Departamento de Ciências Farmacêuticas, Centro de Ciências da Saúde, Universidade Federal de Pernambuco, Recife, PE, Brasil, Departamento de Ciências Farmacêuticas, Centro de Ciências da Saúde, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Carolina Maria da Silva
- Universidade Federal de Pernambuco, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brasil, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Igor de Farias Domingos
- Universidade Federal de Pernambuco, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brasil, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Sarah Santos Gonçalves
- Laboratório de Micologia Especial, São Paulo, SP, Brasil, Laboratório de Micologia Especial, São Paulo, SP, Brazil
| | - Edinalva Pereira Leite
- Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Recife, PE, Brasil, Hospital Universitário do Instituto Oswaldo Cruz, Centro de Oncologia, Recife, PE, Brazil
| | - Vera Lúcia Lins de Morais
- Fundação Oswaldo Cruz, Instituto Oswaldo Cruz, Recife, PE, Brasil, Hospital Universitário do Instituto Oswaldo Cruz, Centro de Oncologia, Recife, PE, Brazil
| | - Danielle Patrícia Cerqueira Macêdo
- Universidade Federal de Pernambuco, Departamento de Ciências Farmacêuticas, Centro de Ciências da Saúde, Universidade Federal de Pernambuco, Recife, PE, Brasil, Departamento de Ciências Farmacêuticas, Centro de Ciências da Saúde, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Reginaldo Gonçalves de Lima Neto
- Universidade Federal de Pernambuco, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brasil, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brazil
| | - Rejane Pereira Neves
- Universidade Federal de Pernambuco, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brasil, Departamento de Micologia, Centro de Ciências Biológicas, Universidade Federal de Pernambuco, Recife, PE, Brazil
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El-Hassani I, Deham H, Touaoussa A, Er-Rami M. [Pulmonary infection by Geotrichum capitatum about a case and review of the literature]. J Mycol Med 2014; 24:341-4. [PMID: 25458367 DOI: 10.1016/j.mycmed.2014.10.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2014] [Revised: 09/26/2014] [Accepted: 10/01/2014] [Indexed: 11/16/2022]
Abstract
Pulmonary geotrichosis is a rare mycosis caused by an arthrospore filamentous fungi of the genus Geotrichum. It is an opportunistic infection that develops when underlying conditions are present, particularly immunosuppression including neutropenia. Pulmonary mycoses in non-neutropenic patients affect two main populations: the solid organ transplanted patients and patients whose local pulmonary defenses are altered by a chronic underlying lung pathology. We report a case of pulmonary infection Geotrichum capitatum in an old tuberculosis patient.
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Affiliation(s)
- I El-Hassani
- Laboratoire de parasitologie, hôpital militaire Moulay Ismail Meknès, boulevard El-Hanssali, 50000 Meknès, Maroc.
| | - H Deham
- Laboratoire de parasitologie, hôpital militaire Moulay Ismail Meknès, boulevard El-Hanssali, 50000 Meknès, Maroc
| | - A Touaoussa
- Laboratoire de parasitologie, hôpital militaire Moulay Ismail Meknès, boulevard El-Hanssali, 50000 Meknès, Maroc
| | - M Er-Rami
- Laboratoire de parasitologie, hôpital militaire Moulay Ismail Meknès, boulevard El-Hanssali, 50000 Meknès, Maroc
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Saghrouni F, Abdeljelil JB, Youssef YB, Abdeljelil NB, Gheith S, Fathallah A, Said MB. Geotrichum capitatum septicemia in patients with acute myeloid leukemia. Report of three cases. Med Mycol Case Rep 2012; 1:88-90. [PMID: 24371748 DOI: 10.1016/j.mmcr.2012.09.003] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2012] [Revised: 09/18/2012] [Accepted: 09/20/2012] [Indexed: 10/27/2022] Open
Abstract
Geotrichum capitatum infection is uncommon, and has been exclusively reported in immunocompromised patients. The prognosis is poor with a mortality rate ranging from 50 to 90%. We report 3 cases of Geotrichum capitatum fungemia in neutropenic patients receiving chemotherapy for acute myeloblastic leukemia. The infection was successfully cured with voriconazole in 1 case and was fatal in the 2 remaining cases despite treatment with amphotericin B.
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Affiliation(s)
- Fatma Saghrouni
- Laboratoire de parasitologie-mycologie, hôpital Farhat Hached, CHU Farhat Hached, Sousse, Tunisia
| | - Jihene Ben Abdeljelil
- Laboratoire de parasitologie-mycologie, hôpital Farhat Hached, CHU Farhat Hached, Sousse, Tunisia
| | | | - Nour Ben Abdeljelil
- Service d'hématologie clinique, Centre de greffe de moelle osseuse, Tunis, Tunisia
| | - Soukeina Gheith
- Laboratoire de parasitologie-mycologie, hôpital Farhat Hached, CHU Farhat Hached, Sousse, Tunisia
| | - Akila Fathallah
- Laboratoire de parasitologie-mycologie, hôpital Farhat Hached, CHU Farhat Hached, Sousse, Tunisia
| | - Moncef Ben Said
- Laboratoire de parasitologie-mycologie, hôpital Farhat Hached, CHU Farhat Hached, Sousse, Tunisia
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