Saprochaete capitata fungemia in patient with adult T- cell leukemia/lymphoma in Macedonia
نویسندگان
چکیده
This is a case report of a fatal case of a patient with Geotrichum capitatum fungemia, who was suffering from T-cell leukemia/lymphoma. This is the first documented case of disseminated Saprochaete capitata reported from Macedonia. The identity of the isolate as S. capitata was confirmed using a Vitek2 system (bioMérieux, France) with a probable value of 99%. The sensitivity to antifungal drugs was performed with E-test to fluconazole and amphotericin B. Minimal inhibitory concentrations (MICs) of S. capitata were 1 mg/L and 1.5 mg/L to amphotericin B and fluconazole, respectively. Patient’s general condition was rapidly deteriorated, with widespread skin lesions, recurrence of conjunctival hyperemia, worsening dyspnea, appearance of polyserositis, and evolution towards cardio-respiratory insufficiency and death five days later. Patients with resistant fever and underlying haematological malignancy, fungal infection with S. capitata should be kept in mind, and early initiation of appropriate antifungal treatment must be overviewed.
منابع مشابه
A rare case of Saprochaete capitata fungemia in a critical ill patient without hematologic and oncological disorders.
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