RRC ID 64432
Author Fujishita K, Oka S, Kamei K, Tani K, Fujisawa Y, Kitamura W, Machida T, Imai T.
Title A Disseminated Fusarium fujikuroi Species Complex Infection Prior to Allogeneic Hematopoietic Stem Cell Transplantation.
Journal Acta Med Okayama
Abstract A 53-year-old man was diagnosed with acute myeloid leukemia, which was refractory to chemotherapies. Systemic papules appeared afterward. The skin biopsies revealed filamentous fungal infection including fusariosis. Despite antifungal therapy, the infection did not resolve, because neutropenia persisted with the leukemia. He underwent hematopoietic stem cell transplantation (HSCT) to overcome the leukemia and restore normal hematopoiesis but died from fusariosis just before engraftment. Fusarium fujikuroi species complex was detected in blood cultures with poor antifungal susceptibility. Because restoring normal hematopoiesis is important in the treatment of fusariosis, HSCT might be considered for patients with persistent pancytopenia.
Volume 74(5)
Pages 435-441
Published 2020-10-1
DOI 10.18926/AMO/60805
PMID 33106701
MeSH Antifungal Agents / therapeutic use* Drug Resistance, Fungal / drug effects* Fatal Outcome Fusariosis / diagnosis Fusariosis / drug therapy* Fusarium / drug effects* Fusarium / isolation & purification Hematopoietic Stem Cell Transplantation / adverse effects Humans Leukemia, Myeloid, Acute / complications Leukemia, Myeloid, Acute / therapy Male Middle Aged Neutropenia / complications
IF 0.642
Resource
Pathogenic eukaryotic microorganisms Fusarium fujikuroi species complex IFM 65844