title: Aureobasidium pullulans infection in a patient with chronic lymphocytic leukemia.
abstract: Saprophytic fungi are being increasingly recognized as etiologic agents of mycoses in immunosuppressed patients. We report a case of subcutaneous infiltration by Aureobasidium pullulans, likely due to traumatic inoculation, in a neutropenic patient during chemotherapy for chronic lymphocytic leukemia. The patient was treated with amphotericin B deoxycholate but was subsequently switched to itraconazole, which improved the lesion. This case highlights the importance of considering unusual fungal infections in critically ill patients such as those who are immunosuppressed due to chemotherapy. Diagnostic techniques and effective antifungal therapy have improved the prognosis of these cases.
authors.affiliation: Serviço de Hematologia, Universidade Federal do Triângulo Mineiro, UberabaMG.
authors.forename: Leonardo Rodrigues de
authors.initials: LR
authors.lastname: Oliveira
authors.forename: Helio
authors.initials: H
authors.lastname: Moraes-Souza
authors.forename: André Luiz
authors.initials: AL
authors.lastname: Maltos
authors.forename: Keila Cristina dos
authors.initials: KC
authors.lastname: Santos
authors.forename: Rodrigo Juliano
authors.initials: RJ
authors.lastname: Molina
authors.forename: Cristina Hueb
authors.initials: CH
authors.lastname: Barata
mesh_terms: D000368:Aged; D001203:Ascomycota / Q000302:isolation & purification*; D017809:Fatal Outcome; D064147:Febrile Neutropenia / Q000382:microbiology*; D006801:Humans; D015451:Leukemia, Lymphocytic, Chronic, B-Cell / Q000382:microbiology*; D008297:Male; D009181:Mycoses / Q000382:microbiology*