Cutaneous Aspergillus ustus in a lung transplant recipient:: Emergence of a new opportunistic fungal pathogen

被引:21
|
作者
Vagefi, Parsia A. [2 ]
Cosimi, A. Benedict [2 ]
Ginns, Leo C. [3 ]
Kotton, Camille N. [1 ]
机构
[1] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Div Infect Dis, Boston, MA 02114 USA
[2] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Div Transplant Surg, Boston, MA 02114 USA
[3] Harvard Univ, Massachusetts Gen Hosp, Sch Med, Lung Transplant Program,Pulm Crit Care Unit, Boston, MA 02114 USA
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关键词
D O I
10.1016/j.healun.2007.09.020
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Opportunistic fungal infections remain a significant complication in immunosuppressed patients, especially those having undergone solid-organ transplantation-We report a 39-year-old patient who represents the second case of cutaneous Aspergillus ustus infection in a solid-organ transplant recipient, and the first documented case after lung transplantation. The patient's cutaneous lower extremity aspergillosis responded to a combination of intravenous liposomal amphotericin B, caspofungin and topical terbinafine cream, with a concomitant reduction in immunosuppression. A ustus is an emerging opportunistic fungal pathogen in transplant recipients.
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页码:131 / 134
页数:4
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