[Nosocomial infection due to Trichosporon asahii in a critical burned patient]
| Autor: | Luis, Tamayo Lomas, Marta, Domínguez-Gil González, Ana Isabel, Martín Luengo, José María, Eiros Bouza, José María, Piqueras Pérez |
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| Rok vydání: | 2014 |
| Předmět: |
Morganella morganii
Catheterization Central Venous Cross Infection Antifungal Agents Coinfection Candidiasis Enterobacteriaceae Infections Middle Aged Opportunistic Infections Respiration Artificial Shock Septic Echinocandins Immunocompromised Host Lipopeptides Trichosporon Caspofungin Trichosporonosis Wound Infection Accidents Occupational Humans Female Voriconazole Ear External Burns |
| Zdroj: | Revista iberoamericana de micologia. 32(4) |
| ISSN: | 2173-9188 |
| Popis: | Invasive fungal infection is an important cause of morbimortality in patients with severe burns. The advances in burn care therapy have considerably extended the survival of seriously burned patients, exposing them to infectious complications, notably fungal infections, with increased recognition of invasive infections caused by Candida species. However, some opportunistic fungi, like Trichosporon asahii, have emerged as important causes of nosocomial infection.A case of nosocomial infection due to T. asahii in a severely ill burned patient successfully treated with voriconazole is presented. The management of invasive fungal infections in burned patients, from diagnosis to selection of the therapeutic protocol, is often a challenge. Early diagnosis and treatment are associated with a better prognosis. In this case report, current treatment options are discussed, and a review of previously published cases is presented.Due to the difficulty in the diagnosis of invasive mycoses and their high associated mortality rates, it is advisable to keep a high degree of clinical suspicion of trichosporonosis in susceptible patients, including burned patients. The isolation of T. asahii in clinical specimens of this type of host must raise clinical alert, since it may precede an invasive infection. |
| Databáze: | OpenAIRE |
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