A Case of Cunninghamella bertholettiae Rhino-cerebral Infection in a Leukaemic Patient and Review of Recent Published Studies.

Autor: E. Righi, C. Giacomazzi, V. Lindstrom, A. Albarello, O. Soro, M. Miglino, M. Perotti, O. Varnier, M. Gobbi, C. Viscoli, M. Bassetti
Zdroj: Mycopathologia; Jun2008, Vol. 165 Issue 6, p407-410, 4p
Abstrakt: Abstract   Cunninghamella bertholletiae infection occurs most frequently in neutropenic patients affected by haematological malignancies, is associated with an unfavourable outcome. We report a case of rhino-mastoidal fungal infection in a leukaemic patient. Bioptical tissue cultures yield the isolation of a mould with typical properties of Cunninghamella species. Liposomal amphotericin B (L-Amb) therapy combined with surgical intervention brought the lesion to recovery. Nevertheless, the patient died 14 days after bone marrow transplantation (BMT) from bacterial sepsis. Mastoiditis was documented at CT-scan. The conditioning regimen probably caused the reactivation of the Cunninghamella infection that led to the patient’s fatal outcome; fungal hyphae were detected after autopsy of brain and lung tissue. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index