Pregled bibliografske jedinice broj: 634932
Invazivna trihosporonoza uzrokovana gljivom Trichosporon asahii u politraumatiziranog neurokirurškog bolesnika.
Invazivna trihosporonoza uzrokovana gljivom Trichosporon asahii u politraumatiziranog neurokirurškog bolesnika. // Acta medica Croatica, 66 (2012), 397-401 (podatak o recenziji nije dostupan, kliničko zapažanje, stručni)
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Naslov
Invazivna trihosporonoza uzrokovana gljivom Trichosporon asahii u politraumatiziranog neurokirurškog bolesnika.
(Invasive trichosporonosis caused by Trichosporon asahii in a polytraumatized neurosurgical patient: case report.)
Autori
Tomić-Paradžik, Maja ; Mihić, Josip ; Kopić, Jasminka ; Mlinarić Missoni, Emilija
Izvornik
Acta medica Croatica (1330-0164) 66
(2012);
397-401
Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kliničko zapažanje, stručni
Ključne riječi
Invazivna trihosporonoza; politrauma; Trichosporon asahii
(invasive trichosporonosis; polytrauma; Trichosporon asahii)
Sažetak
Trichosporon asahii (formerly T. beigelii) is a rare cause of human infections with very varied clinical manifestations ranging from superficial infections to severe and systemic diseases. T. asahii is a life-threatening opportunistic pathogen especially for granulocytopenic, immunocompromised and immunodeficient patients. It is the possible cause of summer-type hypersensitivity pneumonitis in Japan and systemic infections in transplant patients, patients on corticosteroid therapy, patients with solid tumors and burn patients. Cases of infection in non-immunocompromised surgical patients and patients with long-term stay in ICU are described in the literature. We report on T. asahii fungemia in a polytraumatized neurosurgical patient with long-term stay in the hospital. Urinary tract was the source of fungemia, with the same pathogen isolated from urine and blood at the same time. In the Referral Center for Systemic Mycoses, Croatian Institute of Public Health, Zagreb, the strain from the urine and blood culture was identified as T. asahii, with good susceptibility to fluconazole, voriconazole and 5 fluorocytosine, reduced susceptibility to itraconazole and resistance to amphotericin B. The patient responded to fluconazole therapy very well. Since systemic trichosporonoses are generally associated with immunocompromised patients (hematologic, granulocytopenic and AIDS patients), thiscase confirms the possibility of infection with this pathogen in patients with long-term hospital stay and reduced local immunity, but without classic immunodeficiency.
Izvorni jezik
Hrvatski
Znanstvena područja
Kliničke medicinske znanosti
POVEZANOST RADA
Ustanove:
Hrvatski zavod za javno zdravstvo,
Opća bolnica "Dr. Josip Benčević"
Profili:
Jasminka Kopić
(autor)
Emilija Mlinarić-Missoni
(autor)
Maja Tomić-Paradžik
(autor)
Josip Mihić
(autor)
Citiraj ovu publikaciju:
Časopis indeksira:
- Scopus
- MEDLINE