| Autor: |
Narita T; Department of Clinical Laboratory, Kouhoukai Takagi Hospital, 141‒11 Sakemi, Okawa City, Fukuoka 831‒0016, Japan., Funashima Y; Department of Medical Technology and Science, Faculty of Fukuoka Health Care, International University of Health and Welfare, 137‒1 Enokizu, Okawa City, Fukuoka 831‒8501, Japan. Medical Laboratory Science Graduate School of Health and Welfare Sciences, International University of Health and Welfare Graduate School, 137‒1 Enokizu, Okawa City, Fukuoka 831‒8501, Japan., Ueda O; Division of Microbiology, Department of Pathology & Microbiology, Faculty of Medicine, Saga University, 5‒1‒1 Nabeshima, Saga 849‒8501, Japan., Nagasawa Z; Department of Medical Technology and Science, Faculty of Fukuoka Health Care, International University of Health and Welfare, 137‒1 Enokizu, Okawa City, Fukuoka 831‒8501, Japan. Medical Laboratory Science Graduate School of Health and Welfare Sciences, International University of Health and Welfare Graduate School, 137‒1 Enokizu, Okawa City, Fukuoka 831‒8501, Japan., Umemura T; Department of Clinical Laboratory, Kouhoukai Takagi Hospital, 141‒11 Sakemi, Okawa City, Fukuoka 831‒0016, Japan. Medical Laboratory Science Graduate School of Health and Welfare Sciences, International University of Health and Welfare Graduate School, 137‒1 Enokizu, Okawa City, Fukuoka 831‒8501, Japan., Yaguchi T; Division of Fungal Infection, Medical Mycology Research Center, Chiba University, 1‒8‒1 Inohana, Chuo-ku, Chiba 260‒8673, Japan., Kamei K; Division of Fungal Infection, Medical Mycology Research Center, Chiba University, 1‒8‒1 Inohana, Chuo-ku, Chiba 260‒8673, Japan., Kawaura F; Department of Respiratory medicineMedical Kouhoukai Takagi Hospital, 141‒11 Sakemi, Okawa City, Fukuoka 831‒0016, Japan. |
| Abstrakt: |
Man in his 80s. In March 20XX, the level of consciousness decreased at the admission facility, and he was transported as an emergency case. He was diagnosed as aspiration pneumonia, septic shock due to cholecystitis, and DIC, and was hospitalized for medical treatment. During the course of hospitalization, aspiration pneumonia continued to improve and worsen, but in January 20XX＋3, a fever of 38.7°C occurred, and Mucor circinelloides was detected in the blood culture collected at this time. In sputum 7 days before the blood culture was submitted, an image of suspicious zygomycosis was confirmed by Gram stain, so the patient was diagnosed with Mucor disease and started administration of amphotericin B. After that, the condition was temporarily stable, but due to recurrence of aspiration pneumonia and renal damage, he died 19 days after the start of amphotericin B administration. It is difficult to detect Mucor spp. in blood culture, however in this case, it was detected by the blood culture device; Versa TREK (Thermo Fisher Scientific K.K. Tokyo, Japan). |
