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Fatal lower limb infection by Trichosporon asahii in an immunocompetent patient

Stavroula Baka ; Aretaieio Hospital, National and Kapodistrian University of Athens
Iliana Tsouma ; Aretaieio Hospital, National and Kapodistrian University of Athens
Evangelia Kouskouni ; Aretaieio Hospital, National and Kapodistrian University of Athens

Puni tekst: engleski, PDF (139 KB) str. 0-0 preuzimanja: 384* citiraj
APA 6th Edition
Baka, S., Tsouma, I. i Kouskouni, E. (2013). Fatal lower limb infection by Trichosporon asahii in an immunocompetent patient. Acta Dermatovenerologica Croatica, 21 (4), 0-0. Preuzeto s https://hrcak.srce.hr/115997
MLA 8th Edition
Baka, Stavroula, et al. "Fatal lower limb infection by Trichosporon asahii in an immunocompetent patient." Acta Dermatovenerologica Croatica, vol. 21, br. 4, 2013, str. 0-0. https://hrcak.srce.hr/115997. Citirano 05.12.2021.
Chicago 17th Edition
Baka, Stavroula, Iliana Tsouma i Evangelia Kouskouni. "Fatal lower limb infection by Trichosporon asahii in an immunocompetent patient." Acta Dermatovenerologica Croatica 21, br. 4 (2013): 0-0. https://hrcak.srce.hr/115997
Harvard
Baka, S., Tsouma, I., i Kouskouni, E. (2013). 'Fatal lower limb infection by Trichosporon asahii in an immunocompetent patient', Acta Dermatovenerologica Croatica, 21(4), str. 0-0. Preuzeto s: https://hrcak.srce.hr/115997 (Datum pristupa: 05.12.2021.)
Vancouver
Baka S, Tsouma I, Kouskouni E. Fatal lower limb infection by Trichosporon asahii in an immunocompetent patient. Acta Dermatovenerol Croat. [Internet]. 2013 [pristupljeno 05.12.2021.];21(4):0-0. Dostupno na: https://hrcak.srce.hr/115997
IEEE
S. Baka, I. Tsouma i E. Kouskouni, "Fatal lower limb infection by Trichosporon asahii in an immunocompetent patient", Acta Dermatovenerologica Croatica, vol.21, br. 4, str. 0-0, 2013. [Online]. Dostupno na: https://hrcak.srce.hr/115997. [Citirano: 05.12.2021.]

Sažetak

Trichosporon asahii can cause superficial skin infections and can be an opportunistic pathogen that produces potentially fatal systemic infections in immunocompromised hosts. We report a case of lower limb infection due to T. asahii in an immunocompetent patient who displayed no evidence of underlying disease but developed an ultimately lethal T. asahii systemic infection. There is a strong possibility that our patient had been colonized at the site infection as part of the normal skin flora. After a period of one month bed rest due to an accidental fall and fracture of the right shoulder-blade, a 61-year old woman experienced severe oedema and redness in the right lower limb and received topical treatment with iodine solution and antibiotics without improvement. She presented at our Outpatient Clinic with cellulitis and lymphoedema. Samples collected from affected areas revealed T. asahii and the patient was referred to a hospital for infection diseases for appropriate therapy. The patient was treated with wound dressings until she was admitted in our intensive care unit when her general condition abruptly deteriorated. Despite in vitro susceptibility results, therapy with liposomal amphotericin and voriconazole could not change the outcome. Nowadays physicians must suspect this emerging difficult-to-treat fungal pathogen and treatment must start promptly in these infections.

Ključne riječi
Trichosporon asahii; lower limb infection; immunocompetent

Hrčak ID: 115997

URI
https://hrcak.srce.hr/115997

Posjeta: 608 *