Disseminated fungal infection by Aureobasidium pullulans in a renal transplant recipient.
Pediatr Transplant
; 22(3): e13152, 2018 05.
Article
em En
| MEDLINE
| ID: mdl-29388304
ABSTRACT
Renal transplant recipients are on long-term potent immunosuppressive therapy, which makes them highly vulnerable to opportunistic fungal infections. Dematiaceous, or dark-pigmented saprophytic fungi, are being increasingly seen as opportunistic pathogens of mycoses in immunosuppressed patients. One of these is Aureobasidium pullulans, which is a black yeast-like dematiaceous fungus found ubiquitously in the environment that can cause various opportunistic human infections. Most infections occur by traumatic inoculation, such as keratitis and cutaneous lesions; disseminated mycoses are very rare and occur only in severely immunocompromised patients. We report a case of disseminated fungal infection due to A. pullulans in a pediatric patient who underwent renal transplant. The use of voriconazole and vacuum-assisted closure along with surgical drainage most likely contributed to the patient's positive outcome.
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Base de dados:
MEDLINE
Assunto principal:
Ascomicetos
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Infecções Oportunistas
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Transplante de Rim
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Hospedeiro Imunocomprometido
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Micoses
Limite:
Adolescent
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Female
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Humans
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article