| RRC ID |
59051
|
| 著者 |
Yagi K, Ushikubo M, Maeshima A, Konishi M, Fujimoto K, Tsukamoto M, Araki K, Kamei K, Oyamada Y, Oshima H.
|
| タイトル |
Invasive pulmonary aspergillosis due to Aspergillus lentulus in an adult patient: A case report and literature review.
|
| ジャーナル |
J Infect Chemother
|
| Abstract |
Aspergillus fumigatus is the commonest cause of pulmonary aspergillosis; however, a recently developed molecular genetic technique identified A. lentulus as a sibling species. Most of the isolates were found in solid organ recipients, often associated with a fatal outcome. Moreover, there is concern that A. lentulus has low susceptibility to multiple antifungal agents. Herein, we report an adult immunocompromised patient with proven invasive pulmonary aspergillosis (IPA) caused by A. lentulus, which was identified through molecular genetic analysis. The patient was diagnosed with IPA by bronchoscopy 3 weeks after initiating systemic corticosteroid therapy for anti-neutrophil cytoplasmic antibody-associated vasculitis. The clinical course of IPA due to A. lentulus showed improvement after treatment with the antifungal agent voriconazole. In summary, we report an adult immunocompromised patient without a history of transplantation who was diagnosed with IPA due to A. lentulus successfully treated with voriconazole, and we also report the findings of a literature review on IPA caused by A. lentulus.
|
| 巻・号 |
25(7)
|
| ページ |
547-551
|
| 公開日 |
2019-7-1
|
| DOI |
10.1016/j.jiac.2019.02.003
|
| PII |
S1341-321X(19)30035-2
|
| PMID |
30824299
|
| MeSH |
Aged, 80 and over
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / drug therapy*
Anti-Neutrophil Cytoplasmic Antibody-Associated Vasculitis / immunology
Antifungal Agents / therapeutic use
Aspergillus / isolation & purification
Aspergillus / pathogenicity*
Bronchoscopy
Fatal Outcome
Female
Glucocorticoids / adverse effects*
Humans
Immunocompromised Host
Invasive Pulmonary Aspergillosis / diagnosis
Invasive Pulmonary Aspergillosis / immunology
Invasive Pulmonary Aspergillosis / microbiology*
Lung / diagnostic imaging
Lung / microbiology
Tomography, X-Ray Computed
Voriconazole / therapeutic use
|
| IF |
1.539
|
| 引用数 |
1
|
| リソース情報 |
| 病原真核微生物 |
IFM 65052 |
