title: First case ofArthrographis kalraefungemia in a patient with cystic fibrosis.
abstract: Arthrographis kalraeis a hyalin fungus. It is a saprophyte of the environment, mainly found in soil and compost. In recent years, cases of opportunistic infections attributed to this pathogen have been described. Our patient was a 19-year-old woman with cystic fibrosis. She presented a bacterial and fungal pulmonary colonization withAspergillus fumigatusandArthrographis. kalrae.After her lung transplantation, she developed anA. kalraefungemia, treated with caspofungin 50 mg/day associated to liposomal amphotericin B i.v. 3 mg/kg/day. The patient died 8 months after her transplantation as the result of a bacterial septic shock.
authors.affiliation: Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg. 1 Place de lHôpital, 67000 Strasbourg, France; Institut de Parasitologie et de Pathologie Tropicale, EA 7292, Fédération de Médecine Translationnelle, Université de Strasbourg, 3 Rue Koeberlé, 67000 Strasbourg, France.
authors.forename: Julie
authors.initials: J
authors.lastname: Denis
authors.affiliation: Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg. 1 Place de lHôpital, 67000 Strasbourg, France; Institut de Parasitologie et de Pathologie Tropicale, EA 7292, Fédération de Médecine Translationnelle, Université de Strasbourg, 3 Rue Koeberlé, 67000 Strasbourg, France.
authors.forename: Marcela
authors.initials: M
authors.lastname: Sabou
authors.affiliation: Service de Pneumologie, Hôpitaux Universitaires de Strasbourg.1 place de l'hôpital, 67000 Strasbourg, France.
authors.forename: Tristan
authors.initials: T
authors.lastname: Degot
authors.affiliation: Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg. 1 Place de lHôpital, 67000 Strasbourg, France; Institut de Parasitologie et de Pathologie Tropicale, EA 7292, Fédération de Médecine Translationnelle, Université de Strasbourg, 3 Rue Koeberlé, 67000 Strasbourg, France.
authors.forename: Ermanno
authors.initials: E
authors.lastname: Candolfi
authors.affiliation: Laboratoire de Parasitologie et de Mycologie Médicale, Hôpitaux Universitaires de Strasbourg. 1 Place de lHôpital, 67000 Strasbourg, France; Institut de Parasitologie et de Pathologie Tropicale, EA 7292, Fédération de Médecine Translationnelle, Université de Strasbourg, 3 Rue Koeberlé, 67000 Strasbourg, France.
authors.forename: Valérie
authors.initials: V
authors.lastname: Letscher-Bru
keywords: Arthrographis kalrae; Cystic fibrosis; Fungemia; Lung transplantation