<i>Postoperative</i> Trichosporon Beigelii <i>Soft Tissue Infection</i>

Greenberg, Robert G.; Berger, Timothy G.

doi:10.1111/j.1524-4725.1989.tb03250.x

Cited by 8 publications

(2 citation statements)

References 11 publications

(23 reference statements)

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“…The 287 infections we assigned to the category of Trichosporon spp. included 28 cases (all reported after 1995) in which the yeast was identified, in accordance with the revised classification, as T. asahii (17 infections, including 10 in patients with hematological diseases) (1,16,26,36,58,81,84,98,131,132, plus 6 cases from the present series); T. inkin (5 infections, 2 in patients with hematological malignancies) (19,72,74,84,104); T. mucoides (4 infections, none involving patients with hematological malignancies) (45,92); and T. cutaneum or T. asteroides (each responsible for 1 infection, both involving patients with hematological malignancies) (18,66). The vast majority of G. capitatum and T. pullulans infections occurred in patients with hematological disease (91.7 and 75%, respectively).…”

Section: Methodsmentioning

confidence: 99%

Invasive Infections Caused byTrichosporonSpecies andGeotrichum capitatumin Patients with Hematological Malignancies: a Retrospective Multicenter Study from Italy and Review of the Literature

Girmenia¹,

Pagano

Martino³

et al. 2005

J Clin Microbiol

362

391

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Trichosporonosis is an uncommon but frequently fatal mycosis in immunocompromised patients 8 and 91.7%, respectively). Well over half of these were suffering from acute leukemia (68 and 84% of patients with Trichosporon sp. and G. capitatum infections, respectively). Crude mortality rates were 77% for Trichosporon spp. and 55.7% for G. capitatum. The optimal therapy for trichosporonosis has yet to be identified; however, in vitro experiences are providing encouraging evidence of the potential role of the new triazoles, in particular, voriconazole.

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Section: Methodsmentioning

confidence: 99%

Invasive Infections Caused byTrichosporonSpecies andGeotrichum capitatumin Patients with Hematological Malignancies: a Retrospective Multicenter Study from Italy and Review of the Literature

Girmenia¹,

Pagano

Martino³

et al. 2005

J Clin Microbiol

362

391

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“…Antibiotics probably increase the incidence and extent of colonization of Trichosporon and may contribute to increasing the risk of human infections. In localized infection, the fungus may be seeded directly at the site of infection rather than by fungemia 3 …”

Section: Discussionmentioning

confidence: 99%

Trichosporon inkin subcutaneous infection in a rheumatoid arthritis patient

2007

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A 74-year-old woman presented with painful ulcerative nodules on the left forearm. She had received systemic steroid therapy for rheumatoid arthritis for several years. On physical examination, there were four hemorrhagic ulcerative nodules with a linear distribution on the left forearm (Fig. 1A). These nodules had developed over the course of 2 months, and the number of lesions had increased despite systemic antibiotic therapy. There was no sign of systemic dissemination of the disease. Biopsy of a nodule demonstrated suppurative granulomatous infiltration (Fig. 1B); the hyphae stained positive with periodic acid-Schiff (data is not shown) and Gomori-methenamine silver stains in the dermis (Fig. 1C). The biopsy specimen was cultured in Sabouraud's dextrose agar supplemented with cycloheximide with incubation at 26 degrees C. A yeast-like creamy colony grew in 1 week. The colony became yellowish gray in color and the surface folded radially after 4 weeks of incubation (Fig. 2A). Microscopic examination revealed arthroconidia and blastoconidia (Fig. 2B), and urease activity was positive. The fungus was identified as Trichosporon beigelii by yeast biochemical card (YBC, Biomerieux Vitek, Inc., Hazelwood, MO, USA). The sequences of rDNA obtained from the colony were amplified using polymerase chain reaction (PCR) primer, analyzing the sequences of the 5.8S and 28S rDNA regions for the genetic identification of the Trichosporon species. The sequences of the PCR product matched the corresponding sequences of the T. inkin strain with 99% accuracy (Fig. 2C). The patient was given oral itraconazole for 8 weeks with good clinical results.

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Superficial Fungal Infections

Sohnle

1993

Infectious Agents and Pathogenesis

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Postoperative Trichosporon Beigelii Soft Tissue Infection

Abstract: A case of postsurgical cutaneous infection with Trichosporon beigelii in an apparently immunocompetent individual is reported. This is a rare surgical complication and the first report of localized skin infection by this organism postoperatively.

Cited by 8 publications

References 11 publications

Invasive Infections Caused byTrichosporonSpecies andGeotrichum capitatumin Patients with Hematological Malignancies: a Retrospective Multicenter Study from Italy and Review of the Literature

Invasive Infections Caused byTrichosporonSpecies andGeotrichum capitatumin Patients with Hematological Malignancies: a Retrospective Multicenter Study from Italy and Review of the Literature

Trichosporon inkin subcutaneous infection in a rheumatoid arthritis patient

Superficial Fungal Infections

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