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J Mycol Med ; 30(1): 100916, 2020 Apr.
Article in English | MEDLINE | ID: mdl-31843296

ABSTRACT

Here, we describe an invasive infection due to Trichosporon coremiiforme in an HIV positive patient with neutropenia. The strain was first erroneously identified as Trichosporon asahii by conventional methods, but correctly identified by mass spectrometry using matrix-assisted laser desorption/ionization time-of-flight technology (MALDI-TOF MS) and ribosomal DNA sequencing. The infection was successfully resolved after antifungal treatment with amphotericin B and fluconazole. This case report is a contribution to the study of T. coremiiforme infections and reinforces its relevance as a species capable of causing invasive human infection in immunocompromised patients and also contributes to the study of its susceptibility profile against antifungal drugs.


Subject(s)
Catheter-Related Infections/diagnosis , HIV Infections/complications , Neutropenia/complications , Trichosporonosis/diagnosis , AIDS-Related Opportunistic Infections/blood , AIDS-Related Opportunistic Infections/diagnosis , AIDS-Related Opportunistic Infections/drug therapy , AIDS-Related Opportunistic Infections/microbiology , Amphotericin B/administration & dosage , Antitubercular Agents/administration & dosage , Bacteremia/diagnosis , Bacteremia/drug therapy , Bacteremia/microbiology , Catheter-Related Infections/complications , Catheter-Related Infections/drug therapy , Catheter-Related Infections/microbiology , Central Venous Catheters/adverse effects , Central Venous Catheters/microbiology , Drug Therapy, Combination , Female , Fluconazole/administration & dosage , HIV , HIV Infections/diagnosis , HIV Infections/microbiology , Humans , Immunocompromised Host , Middle Aged , Neutropenia/diagnosis , Neutropenia/microbiology , Neutropenia/virology , Trichosporon/isolation & purification , Trichosporonosis/drug therapy , Trichosporonosis/etiology , Tuberculosis, Pulmonary/complications , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/microbiology
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