rhodotorula mucilaginosa bloodstream infection in a case of duodenal perforation

نویسندگان

vijaya shivkumar rajmane department of microbiology, krishna institute of medical sciences university, karad, india; department of microbiology, krishna institute of medical sciences university, karad, india. tel: +91-9860299944, fax: +91-02164243272

shivkumar t rajmane department of orthopedics, institute of medical sciences and research, mayani, india

ashok y kshirsagar department of surgery, krishna institute of medical sciences university, karad, india

virendra chandrashekhar patil department of medicine, krishna institute of medical sciences university, karad, india

چکیده

conclusions in humans, rhodotorula species have been recovered as commensal organisms from the nails, the skin, and the respiratory, gastrointestinal (gi), and urinary tracts. due to their presence in the gi flora, broad-spectrum antibiotics could contribute to their overgrowth in the gi tract. localized infections, such as peritonitis, due to rhodotorula species following infected peritoneal dialysis catheters have been reported in the literature. however, in our case, it seems possible that the fungus might have entered the bloodstream through disruption of the gi mucosa, and to prove this, further study is mandatory. it should also be noted that both amphotericin b and flucytosine have good activity against rhodotorula in vitro, whereas fluconazole is inactive. introduction rhodotorula species are widespread in nature and can be isolated from a variety of sources, including air, soil, seawater, plants, and the household environment. they are also widely distributed in hospitals, and their presence could be considered a risk factor for hospitalized patients. these commensal yeasts have emerged as a cause of life-threatening fungemia in patients with depressed immune systems. case presentation we report a case of duodenal perforation with peritonitis in a 36-year-old female who was scheduled immediately for exploratory laparotomy followed by closure of perforation and omentopexy. the peritoneal fluid was sent to the microbiology laboratory for routine investigations. on the 4th postoperative day, the patient had a fever that did not subside with antipyretics; hence, blood cultures were sent the next day. the peritoneal fluid and blood culture reports both yielded rhodotorula mucilaginosa after 3 days of incubation. the patient was started on iv amphotericin b therapy, which resulted in a favorable outcome.

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عنوان ژورنال:
avicenna journal of clinical microbiology and infection

جلد ۳، شماره ۳، صفحات ۰-۰

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