Fatal Cryptococcus gattii genotype AFLP6/VGII infection in a HIV-negative patient: case report and a literature review

被引:11
|
作者
Favalessa, Olivia Cometti [1 ]
Lazera, Marcia dos Santos [2 ]
Wanke, Bodo [2 ]
Trilles, Luciana [2 ]
Takahara, Doracilde Terumi [1 ]
Tadano, Tomoko [3 ]
Dias, Luciana Basili [1 ]
Vieira, Ananda Castro [3 ]
Novack, Glaucia Vanessa [3 ]
Hahn, Rosane Christine [1 ,3 ]
机构
[1] Univ Fed Mato Grosso, Fac Med, Lab Micol, Cuiaba, MT, Brazil
[2] Fiocruz MS, IPEC Lab Micol, BR-21045900 Rio De Janeiro, RJ, Brazil
[3] Univ Fed Mato Grosso, Hosp Univ Julio Muller, Cuiaba, MT, Brazil
关键词
Neurocryptococcosis; Cryptococcus gattii; seronegative for HIV; midwestern of Brazil; IN-VITRO SUSCEPTIBILITIES; RIO-DE-JANEIRO; VANCOUVER-ISLAND; ANTIFUNGAL SUSCEPTIBILITIES; NEOFORMANS; STATE; MENINGITIS; MANAGEMENT; FEATURES; DISEASE;
D O I
10.1111/myc.12210
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Cryptococcus gattii, a species belonging to the Cryptococcus complex which occurs endemically in tropical and subtropical regions, has been reported as a causative agent of cryptococcosis in healthy individuals. We report a case of meningitis in HIV-negative patient from Cuiaba, MT, in the Midwestern region of Brazil. Cryptococcus gattii AFLP6/VGII was isolated from cerebrospinal fluid and molecular typing was performed by URA5-RFLP. The in vitro susceptibility profile was determined using the standard method according to the document M27A3, CLSI 2008. C. gattii AFLP6/VGII was shown to be susceptible to the antifungals tested. Treatment with 0.8mg/kg of amphotericin B was initiated; however, the patient died 2 days after the onset of therapy.
引用
收藏
页码:639 / 643
页数:5
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