A unique case of hydropneumothorax in allergic bronchopulmonary aspergillosis
We report an unusual case of a patient with ABPA who presented to us with hydropneumothorax with bronchopleural fistula. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - July 7, 2019 Category: Biology Source Type: research
Cor pulmonale complicating chronic pulmonary aspergillosis with fatal consequences: Experience from Uganda
Publication date: September 2019Source: Medical Mycology Case Reports, Volume 25Author(s): Felix Bongomin, Richard Kwizera, Angella Atukunda, Bruce J. KirengaAbstractCor pulmonale is a rare complication of pulmonary aspergillosis (CPA). A 45-year-old Ugandan male with a history of recurrent community-acquired pneumonias was admitted with symptoms of progressive difficulty in breathing, chronic productive cough, non-exertional left sided chest pain and progressive weight loss occurring over a 12-month period. Chest CT scan and echocardiography confirmed the diagnosis of CPA with an aspergilloma complicating bronchiectasis, ...
Source: Medical Mycology Case Reports - July 7, 2019 Category: Biology Source Type: research
Multiple organ dysfunction syndrome and death secondary to Cyberlindnera fabianii
Publication date: Available online 5 July 2019Source: Medical Mycology Case ReportsAuthor(s): Mehul Desai, Bradley Nitta, Hussain Dhanani, Svetolik Djurkovic, Shalika KatugahaAbstractCyberlindnera fabianii is a yeast present in soil rarely associated with invasive infection. Due to advanced diagnostic and therapeutic techniques, pathogenicity is increasingly recognized.A 37-year-old male with B cell lymphoma on rituximab developed multiple organ dysfunction syndrome secondary to C. fabianii bacteremia. Specialized species identification techniques were required after failure of standard methods. Despite extracroporeal memb...
Source: Medical Mycology Case Reports - July 6, 2019 Category: Biology Source Type: research
Isolation of Cryptococcus gattii from feline chronic stage lipoid pneumonia
Publication date: Available online 12 June 2019Source: Medical Mycology Case ReportsAuthor(s): Robert Newman, Megan SchaibleAbstractWe hereby report a unique manifestation of feline cryptococcosis in the form of extensively consolidated lipoid pneumonia resulting in an isolated space-occupying lung lobe mass. Lung lobectomy was performed and a diagnosis of severe lipoid pneumonia with intra-lesional Cryptococcus gattii was made. The patient was asymptomatic for respiratory disease and no abnormalities of the upper respiratory tract were identified. Anti-fungal therapy was initiated following the diagnosis and the patient r...
Source: Medical Mycology Case Reports - June 12, 2019 Category: Biology Source Type: research
Successful treatment of rhinoorbital mucormycosis due to Rhizopus arrhizus with liposomal amphotericin B, posaconazole and surgical debridement in a child with neuroblastoma
We present a case of rhinoorbital mucormycosis in an 11-year old male with neuroblastoma successfully treated with aggressive surgical debridement and antifungal combination of liposomal amphotericin B and posaconazole. Our patient developed signs of paranasal sinus infection and culture of fine needle biopsy grew Rhizopus arrhizus. Prompt treatment and drastic surgical resection led to complete clinical and radiological recovery without evidence of mucormycosis relapse. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - June 9, 2019 Category: Biology Source Type: research
An unusual cause of bowel obstruction: Rhizopus Arrhizus diverticulitis
We present a patient who developed a bowel obstruction one month after bone marrow transplant and was diagnosed with Rhizopus arrhizus diverticulitis despite antifungal therapy since transplantation. She underwent surgical removal with immediate fungal resurgence, declined further invasive intervention and was discharged on palliative isavuconazole. Four months later she is alive with fungal containment. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - June 9, 2019 Category: Biology Source Type: research
Candida tropicalis defibrillator endocarditis: A case report and review of current literature
Publication date: Available online 8 June 2019Source: Medical Mycology Case ReportsAuthor(s): Bastian Klemens Bauer, Arik Bernhard Schulze, Andreas Löher, Florian Reinke, Lars EckardtAbstractWe provide a review of current literature and report on a case of electronic device infective endocarditis with C. tropicalis. A 64-year-old man presented for revision of his implantable cardioverter defibrillator. Echocardiography revealed extensive vegetations attached to the Eustachian valve and in the right ventricular apex. Microbiological findings presented C. tropicalis on the explanted material. The patient refused additional ...
Source: Medical Mycology Case Reports - June 9, 2019 Category: Biology Source Type: research
Different toenail onychomycosis due to Rhodotorula mucilaginosa and Candida parapsilosis in an immunocompetent young adult
Publication date: Available online 28 April 2019Source: Medical Mycology Case ReportsAuthor(s): Gai Ge, Dongmei Li, Huan Mei, Guixia Lu, Hailin Zheng, Weida Liu, Dongmei ShiAbstractCandida parapsilosis (C. parapsilosis) and Rhodotorula mucilaginosa (R. mucilaginosa) have emerged as a potential pathogen in immunosuppressed hosts; they rarely induce onychomycosis in immunocompetent hosts without assistance from other pathogens. Here we present onychomycosis induced by two strains on different toenails in an immunocompetent young adult. The patient presented with onychomycosis on left and right first toenails due to R. mucila...
Source: Medical Mycology Case Reports - April 29, 2019 Category: Biology Source Type: research
Complicated urinary tract infection by Trichosporon loubieri
We report two cases of complicated Urinary Tract Infection, one with nephrostomy tube left in-situ and other with bladder outlet obstruction, caused by Trichosporon loubieri. Both patients responded well to antifungal treatment along with change/removal of catheters. In both the cases, correct identification of T. loubieri was done by IGS1 sequencing. Prompt identification and timely management headed to good clinical outcome. Hence, clinicians should be aware of T. loubieri as an emerging fungi causing human infections. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - April 29, 2019 Category: Biology Source Type: research
Case report: Disseminated aspergillosis complicating influenza
We describe a case of invasive aspergillosis complicating influenza and diabetic ketoacidosis that disseminated to the central nervous system and led to demise despite high-intensity antifungal therapy. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - April 28, 2019 Category: Biology Source Type: research
Sticks and bones: Traumatic phaeohyphomycosis presenting as an epidural scalp abscess and cranial osteomyelitis
We describe a 76-year-old male patient who developed a Cladophialophora bantiatum posterior scalp abscess and cranial osteomyelitis following an incidental scalp exposure with a tree branch. Management requires extensive surgical debridement followed by prolonged antifungal therapy. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - April 28, 2019 Category: Biology Source Type: research
Risk factors of laryngeal cryptococcosis: A case report
We present a case of laryngeal cryptococcosis with a long-term inhaled corticosteroid use, co-infection of pulmonary Mycobacterium avium-intracellulare, and mannose-binding lectin deficiency. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - April 28, 2019 Category: Biology Source Type: research
Fungal keratitis caused by Didymella gardeniae (formerly Phoma gardeniae) successfully treated with topical voriconazole and miconazole
We report a case of keratitis caused by Didymella gardeniae, formerly known as P. gardeniae. The patient had a history of stromal herpetic keratitis and had been treated with long-term topical betamethasone. He developed infectious keratitis in the left eye, with the causative fungus identified by ribosomal DNA sequencing. Combination treatment with topical voriconazole and miconazole proved effective. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - April 28, 2019 Category: Biology Source Type: research
Molecular diagnosis of kerion celsi caused by Trichophyton tonsurans in a Italian child
We report a case of Kerion celsi caused by Trichophyton tonsurans in a child following an excoriation to the scalp caused by a fall in a public park. The use of multiplex PCR assay has enabled rapid diagnosis of tinea capitis from T. tonsurans with a result in less than 48 hours and therefore the possibility of quickly starting antifungal therapy. The patient had a complete recovery at the end of the antifungal treatment. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - April 28, 2019 Category: Biology Source Type: research
Mediastinal cryptococcosis simulating thyroid neoplasia in immunocompetent patient with prior diagnosis and treatment for COPD
We report a case of mediastinal cryptococcosis with thyroid invasion in a patient who presented dry cough and persistent dyspnea. This patient has been treated for COPD, presenting no clinical responses. Spirometry showed fixed flattening of inspiratory and expiratory loops, suggesting extrinsic tracheal compression. A freezing biopsy revealed a mass consisting of lymph nodes and yeasts with characteristics of Cryptococcus spp. After surgical resection of the lesion, the patient was treated with fluconazole, showing total remission of the disease and symptomatology. (Source: Medical Mycology Case Reports)
Source: Medical Mycology Case Reports - April 28, 2019 Category: Biology Source Type: research
