title: [Triple fungal infection in a patient with liver cirrhosis].
abstract: The prevalence of invasive mycoses is increasing, especially among patients who are immunocompromised or hospitalized with serious underlying diseases. Such infections are associated with a high morbidity and significant mortality, requiring early diagnosis and appropriate treatment but also an optimal prophylaxis in patients with high risk factors. We report a case of triple fungal infection including an invasive pulmonary aspergillosis by Aspergillus fumigatus, a candidemia by Candida albicans and a Pneumocystis pneumonia. The overall clinical picture of this patient was liver cirrhosis with medical history of immunosuppressive treatment for Crohn disease and a non-hodgkin lymphoma. There was no antifungal prophylaxis for this patient. Under treatment, the issue was unfavourable with multivisceral failure.
authors.affiliation: Laboratoire de parasitologie-mycologie, Institut de microbiologie, Centre de biologie pathologie, CHRU de Lille.
authors.forename: Kazali
authors.initials: K
authors.lastname: Alidjinou
authors.forename: Daniel
authors.initials: D
authors.lastname: Mathieu
authors.forename: Jean Frédéric
authors.initials: JF
authors.lastname: Colombel
authors.forename: Nadine
authors.initials: N
authors.lastname: François
authors.forename: Daniel
authors.initials: D
authors.lastname: Poulain
authors.forename: Boualem
authors.initials: B
authors.lastname: Sendid
mesh_terms: D001228:Aspergillosis / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis; D002177:Candidiasis / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis; D017809:Fatal Outcome; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects; D008103:Liver Cirrhosis / Q000139:chemically induced / Q000150:complications*; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure; D009181:Mycoses / Q000139:chemically induced / Q000150:complications* / Q000175:diagnosis; D011020:Pneumonia, Pneumocystis / Q000139:chemically induced / Q000150:complications / Q000175:diagnosis
chemical_list: D007166:Immunosuppressive Agents