Central venous catheter infection associated with Pseudozyma aphidis in a child with short gut syndrome.
Pseudozyma aphidis is a heterobasidiomycetous yeast related to the smut fungi in the genus Ustilago. Pseudozyma species are usually isolated from plants and rarely from clinical specimens. We report what is believed to be the first paediatric case of central venous catheter (CVC)-related fungaemia associated with P. aphidis. Prompt removal of the CVC in conjunction with anti-fungal therapy resulted in a successful outcome.
Lin
Shau-Shau
SS
Departments of Pediatric Surgery, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Pranikoff
Thomas
T
Departments of Pediatric Surgery, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Smith
Shani F
SF
Department of Pediatrics, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Brandt
Mary E
ME
Mycotic Diseases Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Gilbert
Kemery
K
Department of Pathology, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Palavecino
Elizabeth L
EL
Department of Pathology, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
Shetty
Avinash K
AK
Department of Pediatrics, Wake Forest University Health Sciences, Winston-Salem, NC, USA.
D002405:Catheterization, Central Venous / Q000009:adverse effects*; D002648:Child; D005260:Female; D016469:Fungemia / Q000382:microbiology*; D006801:Humans; D009181:Mycoses / Q000382:microbiology; D012778:Short Bowel Syndrome / Q000628:therapy*; D014587:Ustilaginales / Q000145:classification* / Q000235:genetics / Q000302:isolation & purification*