title: Rhodotorula mucilaginosa Fungemia and Pleural Tuberculosis in an Immunocompetent Patient: An Uncommon Association.
abstract: We report an atypical case of Rhodotorula mucilaginosa fungemia coexisting with pleural tuberculosis, in an immunocompetent host. The patient was an inhaled drug abuser and worked in a fruit market. The diagnosis of Rhodotorula mucilaginosa infection was established by the isolation of the yeast in two blood cultures followed by a good response to amphotericin B treatment. Persistent evening fever and pleural effusion led to the second diagnosis-pleural tuberculosis. In the last 5 years, this was the only case of Rhodotorula mucilaginosa fungemia in our hospital and the first case in the literature that documents Rhodotorula mucilaginosa fungemia associated with pleural tuberculosis.
authors.affiliation: Department of Internal Medicine, Hospital de Santo António - Centro Hospitalar do Porto, Largo Prof. Abel Salazar, 4099-001, Porto, Portugal. laupereira85@gmail.com.
authors.forename: Cláudia
authors.initials: C
authors.lastname: Pereira
authors.affiliation: Department of Internal Medicine, Hospital de Santo António - Centro Hospitalar do Porto, Largo Prof. Abel Salazar, 4099-001, Porto, Portugal.
authors.forename: Sofia
authors.initials: S
authors.lastname: Ribeiro
authors.affiliation: Department of Microbiology, Hospital Santo António - Centro Hospitalar do Porto, Largo Prof. Abel Salazar, 4099-001, Porto, Portugal.
authors.forename: Virgínia
authors.initials: V
authors.lastname: Lopes
authors.affiliation: Department of Internal Medicine, Hospital de Santo António - Centro Hospitalar do Porto, Largo Prof. Abel Salazar, 4099-001, Porto, Portugal.
authors.forename: Teresa
authors.initials: T
authors.lastname: Mendonça
mesh_terms: D000328:Adult; D000666:Amphotericin B / Q000008:administration & dosage; D000935:Antifungal Agents / Q000008:administration & dosage; D001769:Blood / Q000382:microbiology; D016469:Fungemia / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008297:Male; D012248:Rhodotorula / Q000302:isolation & purification*; D016896:Treatment Outcome; D014396:Tuberculosis, Pleural / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology
chemical_list: D000935:Antifungal Agents; D000666:Amphotericin B
keywords: Coinfection; Fungemia; Pleural tuberculosis; Rhodotorula mucilaginosa