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Infection of the lymphatic system by Aureobasidium pullulans in a patient with erythema nodosum leprosum

Aureobasidium pullulans is a causal agent of phaeohyphomycosis, occasionally found in men and animals. As an agent of different opportunistic fungal processes, it may cause fungemia, systemic infections and abscesses in different viscera. This paper aims to report a case of a patient with infection...

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Main Authors: Morais, Orlando Oliveira de, Porto, Cláudia, Coutinho, Anglya Samara Silva Leite, Reis, Carmélia Matos Santiago, Teixeira, Marcus de Melo, Gomes, Ciro Martins
Format: Artigo
Language: English
Published: Brazilian Society of Infectious Diseases 2017
Subjects:
HIV
pneumonia
macrolides
mortality
Online Access: http://repositorio.unb.br/handle/10482/28174
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spelling ir-10482-281742019-03-28T14:02:39Z Infection of the lymphatic system by Aureobasidium pullulans in a patient with erythema nodosum leprosum Morais, Orlando Oliveira de Porto, Cláudia Coutinho, Anglya Samara Silva Leite Reis, Carmélia Matos Santiago Teixeira, Marcus de Melo Gomes, Ciro Martins HIV pneumonia macrolides mortality Aureobasidium pullulans is a causal agent of phaeohyphomycosis, occasionally found in men and animals. As an agent of different opportunistic fungal processes, it may cause fungemia, systemic infections and abscesses in different viscera. This paper aims to report a case of a patient with infection of the lymphatic system by A. pullulans. A 23-year-old patient being treated for erythema nodosum leprosum presented a 60-day complaint of daily fever, hoarseness, odynophagia and weight loss. Laboratory tests showed pancytopenia with severe neutropenia, cervical adenomegaly and solid contrast uptake lesion in the oropharyngeal region. Due to neutropenia and sepsis the patient was initially treated with cefepime and vancomycin, but there was no clinical improvement. Lymph node puncture-aspiration showed yeast-form fungus identified as A. pullulans by sequencing ITS region. The patient was treated with amphotericin B deoxycholate, leading to complete recovery of bone marrow function and regression of adenomegaly and the oropharyngeal lesion. 2017-12-07T04:57:13Z 2017-12-07T04:57:13Z 2011 Artigo Braz J Infect Dis,v.15,n.3,p.288-292,2011 1413-8670 http://repositorio.unb.br/handle/10482/28174 10.1590/S1413-86702011000300019 en Acesso Aberto application/pdf Brazilian Society of Infectious Diseases http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702011000300019&lng=en&nrm=iso http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1413-86702011000300019&lng=en&nrm=iso http://www.scielo.br/scielo.php?script=sci_pdf&pid=S1413-86702011000300019&lng=en&nrm=iso
institution REPOSITORIO UNB
collection REPOSITORIO UNB
language English
topic HIV
pneumonia
macrolides
mortality
spellingShingle HIV
pneumonia
macrolides
mortality
Morais, Orlando Oliveira de
Porto, Cláudia
Coutinho, Anglya Samara Silva Leite
Reis, Carmélia Matos Santiago
Teixeira, Marcus de Melo
Gomes, Ciro Martins
Infection of the lymphatic system by Aureobasidium pullulans in a patient with erythema nodosum leprosum
description Aureobasidium pullulans is a causal agent of phaeohyphomycosis, occasionally found in men and animals. As an agent of different opportunistic fungal processes, it may cause fungemia, systemic infections and abscesses in different viscera. This paper aims to report a case of a patient with infection of the lymphatic system by A. pullulans. A 23-year-old patient being treated for erythema nodosum leprosum presented a 60-day complaint of daily fever, hoarseness, odynophagia and weight loss. Laboratory tests showed pancytopenia with severe neutropenia, cervical adenomegaly and solid contrast uptake lesion in the oropharyngeal region. Due to neutropenia and sepsis the patient was initially treated with cefepime and vancomycin, but there was no clinical improvement. Lymph node puncture-aspiration showed yeast-form fungus identified as A. pullulans by sequencing ITS region. The patient was treated with amphotericin B deoxycholate, leading to complete recovery of bone marrow function and regression of adenomegaly and the oropharyngeal lesion.
format Artigo
author Morais, Orlando Oliveira de
Porto, Cláudia
Coutinho, Anglya Samara Silva Leite
Reis, Carmélia Matos Santiago
Teixeira, Marcus de Melo
Gomes, Ciro Martins
author_sort Morais, Orlando Oliveira de
title Infection of the lymphatic system by Aureobasidium pullulans in a patient with erythema nodosum leprosum
title_short Infection of the lymphatic system by Aureobasidium pullulans in a patient with erythema nodosum leprosum
title_full Infection of the lymphatic system by Aureobasidium pullulans in a patient with erythema nodosum leprosum
title_fullStr Infection of the lymphatic system by Aureobasidium pullulans in a patient with erythema nodosum leprosum
title_full_unstemmed Infection of the lymphatic system by Aureobasidium pullulans in a patient with erythema nodosum leprosum
title_sort infection of the lymphatic system by aureobasidium pullulans in a patient with erythema nodosum leprosum
publisher Brazilian Society of Infectious Diseases
publishDate 2017
url http://repositorio.unb.br/handle/10482/28174
_version_ 1641988899322462208
score 13.657419

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