Empyema thoracis due to Rhizopus oryzae in an allogenic bone marrow transplant recipient.
We describe a case of empyema thoracis caused by Rhizopus oryzae diagnosed in an allogenic bone marrow transplant patient with acute lymphocytic leukemia. The isolate of R. oryzae was recovered from three pleural effusion specimens, which were black in color. It was identified on the basis of characteristic colonial appearance and microscopic findings, as well as the partial sequencing of rRNA genes. The patient died of uncontrolled R. oryzae empyema thoracis and concomitant nosocomial infection.
Lai
Chih-Cheng
CC
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Liaw
Shwu-Jen
SJ
Hsiao
Yao-Chuan
YC
Chiu
Yu-Shin
YS
Laio
Wei-Yu
WY
Lee
Li-Na
LN
Hsueh
Po-Ren
PR
D016026:Bone Marrow Transplantation; D004271:DNA, Fungal / Q000737:chemistry / Q000235:genetics; D004275:DNA, Ribosomal / Q000737:chemistry / Q000235:genetics; D016724:Empyema, Pleural / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009091:Mucormycosis / Q000382:microbiology*; D010996:Pleural Effusion / Q000382:microbiology; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000150:complications*; D013902:Radiography, Thoracic; D012233:Rhizopus / Q000166:cytology / Q000235:genetics / Q000302:isolation & purification*; D017422:Sequence Analysis, DNA; D014057:Tomography, X-Ray Computed; D014184:Transplantation, Homologous
D004271:DNA, Fungal; D004275:DNA, Ribosomal