[Aspergillus fumigatus and Chaetomium homopilatum in a leukemic patient. Pathogenic significance of Chaetomium species].
From the tracheal secretion of a leukaemic patient Aspergillus fumigatus and Chaetomium homopilatum was isolated. Radiographically (HR-CT) an invasive pulmonary mycosis was diagnosed from which the patient died. As an autopsy was not performed, the role of the isolated fungi could not be clarified safely. Aspergillus fumigatus is supposed to have been responsible for the invasive mycosis. The etiopathological significance of Ch. homopilatum remained unclear. The isolation of Ch. homopilatum was a reason for reviewing the genus Chaetomium. In the literature 18 reported cases of infections by Chaetomium sp. were found. Ch. globosum was the most prevalent species and caused mostly onychomycosis. Ch. strumarium and Ch. atrobrunneum caused brain infections. The predisposing factor in case of onychomycosis and cutaneous lesions was a trauma, and the systemic mycoses were a consequence of leukaemia, renal transplantation, intravenous drug use or renal failure. The reported cases show, that Chaetomium sp. may cause infections, if predisposing factors are present. Therefore the isolation of Chaetomium sp. in clinical specimen should not regarded as a contamination, and the possible etiopathological significance should be clarified.
Schulze
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Landesinstitut für den Offentlichen Gesundheitsdienst, Münster, BR Deutschland.
Aptroot
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Grote-Metke
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A
Balleisen
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L
D000328:Adult; D001228:Aspergillosis / Q000175:diagnosis* / Q000209:etiology; D001232:Aspergillus fumigatus / Q000302:isolation & purification*; D002597:Chaetomium / Q000302:isolation & purification*; D006801:Humans; D015470:Leukemia, Myeloid, Acute / Q000150:complications* / Q000382:microbiology; D008172:Lung Diseases, Fungal / Q000175:diagnosis* / Q000209:etiology; D008297:Male; D009181:Mycoses / Q000175:diagnosis* / Q000209:etiology; D014132:Trachea / Q000378:metabolism / Q000382:microbiology