[Disseminated infection caused by Trichosporon beigelii in a patient with acute leukemia].
We report a case of disseminated infection produced by Trichosporon beigelii in a woman with acute leukemia and we review the cases described in the literature. In our patient the agent was isolated in the blood and in the bronchoalveolar aspirate. The infection was detected at the time the patient was under granulocytopenia produced by cytostatic therapy with involvement of the bones, kidney, lung, and skin. Although this mycotic agent is commonly sensitive in vitro to amphotericin B, there is not experience enough to recommend it and the mortality is high. Infection by Trichosporon beigelii should be considered in the differential diagnosis of patients with granulocytopenia and infection. This might contribute to improve the prognosis of the disease since and appropriate diagnosis and treatment would be established.
Rello
J
J
Servei de Medicina Intensiva, Hospital de la Santa Creu i Sant Pau, Universitat Autònoma de Barcelona.
Brunet
S
S
Ausina
V
V
Gurguí
M
M
Canals
C
C
Quintana
E
E
Net
A
A
D000328:Adult; D005260:Female; D006801:Humans; D016867:Immunocompromised Host; D015470:Leukemia, Myeloid, Acute / Q000150:complications*; D009181:Mycoses / Q000150:complications* / Q000473:pathology; D009894:Opportunistic Infections / Q000150:complications* / Q000382:microbiology / Q000473:pathology; D012074:Remission Induction; D014250:Trichosporon / Q000302:isolation & purification*
Infección diseminada por Trichosporon beigelii en un paciente con leucemia aguda.