scholarly journals An Unusual Case of Candida kefyr Fungemia in an Immunocompromised Patient

Cureus ◽  
2021 ◽  
Author(s):  
Lakshmi Jyothi ◽  
Naveen P Reddy ◽  
Shazia Naaz
2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Ramya Raghavan ◽  
Gomathi Chithra ◽  
Sanal Fernandez ◽  
Bettadpura Shamana Suryanarayana ◽  
Rakesh Singh

Background and Purpose: Purpureocillium lilacinum (previously known as Paecilomyces lilacinus) and Paecilomyces variotii cause hyalohyphomycosis.Case report: In this study, we present a case of multiple subcutaneous abscesses of the lower limbs due to Purpureocillium lilacinum in a patient with myasthenia gravis and uncontrolled diabetes. Subcutaneous involvement of the lower limbs with this fungus is an unusual presentation. Pus aspirate collected on multiple occasions revealed hyaline septate hyphae under microscopic examination and Purpureocillium lilacinum grew on Sabouraud Dextrose Agar. The patient was initially treated by surgical excision and itraconazole therapy. Swelling regressed but discharge was noticed from the excision site after three months of itraconazole therapy. Culture from the discharge material yielded the same fungal growth. Treatment was changed to ketoconazole and he responded. Conclusion: This case report emphasizes the importance of identifying Purpureocillium lilacinum at an unusual site like the lower limbs in an immunocompromised patient. Ketoconazole may be used as an alternative treatment option for hyalohyphomycosis caused by Purpureocillium lilacinum. Keywords: Hyalohyphomycosis, Immunocompromised patient, Myasthenia gravis, Purpureocillium lilacinum, Purpureocillium lilacinum  


2020 ◽  
Vol 12 (2) ◽  
pp. 138-143
Author(s):  
Guy Shalom ◽  
Amir Horev

Primary cutaneous cryptococcosis (PCC) is an uncommonly reported entity. We describe an unusual case of PCC in an injection site of an immunocompromised patient. The specific case demonstrates a challenging treating dilemma with different alternative treatment choices. In the presented clinical setting, each choice concealed its risks and benefits. We highlight the importance of patient education for taking the appropriate measures for the disinfection of subcutaneous injection sites.


1989 ◽  
Vol 103 (2) ◽  
pp. 214-215 ◽  
Author(s):  
Lesley A. Smallman ◽  
Olga P. R. Stores ◽  
M. G. Watson ◽  
D. W. Proops

AbstractAn unusual case of cryptococcosis of the larynx is described in a non-immunocompromised patient. To our knowledge this is the second reported case in the literature.


2006 ◽  
Vol 120 (3) ◽  
pp. 1-3 ◽  
Author(s):  
A Liapi ◽  
G Dhanasekar ◽  
Y L Hock ◽  
D M East

Primary extra-nodal non-Hodgkin's lymphoma (NHL) of the skeletal muscles is a well recognized entity although such occurrences are not very common. Presentation in the muscles of the face has only rarely been described. We present a case of primary extra-nodal NHL in a non-immunocompromised patient involving only the muscles of facial expression and not extending to the oral cavity or sinonasal tract. The patient was subsequently treated with chemotherapy and at the time of writing remained in remission. We suggest that lymphoma should be considered among the causes for malignant infiltration of the muscles of the face.


2019 ◽  
Vol 12 (1) ◽  
pp. 22-28 ◽  
Author(s):  
Jochen J. Frietsch ◽  
Nils Winkelmann ◽  
Friederike Hunstig ◽  
Ulf Schnetzke ◽  
Friedrich J. Hammersen ◽  
...  

Infectious complications such as invasive aspergillosis or infection with Stenotrophomonas maltophilia (SM) in immunocompromised patients are associated with a high mortality rate. Our report concerns a 40-year-old male newly diagnosed very severe aplastic anemia (vSAA) who in consequence of a mosquito bite was suffering from skin lesion and consecutive soft tissue phlegmon subsequent to the administration of antithymocyte globulin; a full-thickness autologous meshed skin graft successfully performed to cover skin ulcera after allogeneic stem cell transplantation (SCT). This unusual case illustrates the importance of appropriate diagnosis, anti-infective therapy and close interdisciplinary diagnostic algorithms to minimalize side effects and the selection of resistant strains and to improve patients’ outcome.


2020 ◽  
Vol 13 (9) ◽  
pp. e233415
Author(s):  
Sydney Tatsuno ◽  
Tara Reed ◽  
Eric Tatsuno ◽  
Curtis Lee

Pyomyositis is considered a great mimicker and masquerader. This case is of a 63-year-old man with diabetes who initially presented to the outpatient clinic afebrile with right shoulder pain. His work-up was negative, and he was discharged home. He subsequently presented to the emergency room (ER) two times for worsening right shoulder pain. During his first visit to the ER, his work-up was unremarkable, and he was discharged home. On his return to the ER, he was now febrile with inflammation involving his right upper extremity and right chest wall. Imaging studies of his right upper extremity and his right chest wall were consistent with multiple abscesses. Methicillin resistant Staphylococcus aureus was cultured from the abscess, and from blood and urine cultures. The diagnosis of pyomyositis was confirmed. This case illustrates the difficulty of diagnosing pyomyositis and the importance of including it in the differential diagnosis, especially in an immunocompromised patient.


2016 ◽  
Vol 10 (10) ◽  
pp. 1156-1158 ◽  
Author(s):  
Hiram Villanueva-Lozano ◽  
Rogelio de J. Treviño-Rangel ◽  
Cristina L. Hernández-Balboa ◽  
Gloria M. González ◽  
Michel F. Martínez-Reséndez

We present a case report of a fungal bloodstream infection due to an unusual pathogen. This is a 30 years-old female patient diagnosed with Crohn’s disease and a disseminated Mycobacterium bovis infection subsequently complicated by fungemia due to the emergent yeast pathogen Candida ciferrii, who was unresponsive to fluconazole and made a full recovery after treatment with posaconazole. To our knowledge, this is the first report of Candida ciferrii isolation from blood in an adult associated to a central venous catheter and which was successfully treated with posaconazole.


RSBO ◽  
2017 ◽  
Vol 13 (4) ◽  
pp. 270
Author(s):  
Sulabha A. Narsapur ◽  
Sameer Choudhari ◽  
Zameer Pasha

Osteomyelitis is an inflammation of medullary portion of bone along with cortex and periosteum. It is one of most difficult infectious diseases to treat. Facial bones are prone to osteomyelitis due to various predisposing condition. Osteomyelitis of maxilla is rare disease and less frequently encountered. Objective: The aim of the article is to present an unusual case of chronic maxillary osteomyelitis secondary to rhinogenic which are rarely clinically causes. Case report: We hereby report a case of chronic maxillary osteomyelitis in 70-year-old non-immunocompromised patient secondary to chronic maxillary sinusitis. Complete resolution of chronic maxillary osteomyelitis was achieved by combination of antimicrobial therapy and surgical treatment. Conclusion: Clinician should identify such risk and provide the aggressive treatment modalities to avoid subsequent dreaded consequences.


1969 ◽  
Vol 100 (6) ◽  
pp. 744-748 ◽  
Author(s):  
F. G. Schellander
Keyword(s):  

1978 ◽  
Vol 114 (2) ◽  
pp. 287b-287
Author(s):  
G. P. Ream
Keyword(s):  

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