101. Isolated pulmonary fusariosis caused by Neocosmospora pseudensiformis in a liver transplant recipient: A case report and review of the literature.
- Author
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Yamasmith E, Chongtrakool P, and Chayakulkeeree M
- Subjects
- Aged, Antifungal Agents therapeutic use, Fatal Outcome, Female, Fusariosis diagnosis, Fusariosis drug therapy, Fusarium pathogenicity, Humans, Lung Diseases, Fungal diagnosis, Lung Diseases, Fungal drug therapy, Radiography methods, Sputum microbiology, Treatment Outcome, Voriconazole therapeutic use, Fusariosis microbiology, Fusarium isolation & purification, Liver Transplantation adverse effects, Lung Diseases, Fungal microbiology, Non-alcoholic Fatty Liver Disease surgery
- Abstract
Neocosmospora pseudensiformis (formerly Fusarium pseudensiforme) is a hyaline mold in the Fusarium solani species complex that has been changed to the genus Neocosmospora. Invasive fusariosis is a rare fungal infection in solid organ transplantation. The most commonly reported manifestation of invasive fusariosis in this setting is localized cutaneous fusariosis. Here, we present the first case report of isolated N pseudensiformis pulmonary infection in a patient with non-alcoholic steatohepatitis cirrhosis who underwent orthotopic liver transplantation. A 67-year-old Thai woman developed acute graft rejection, dyspnea, and pulmonary consolidation 6 months after liver transplantation. N pseudensiformis was isolated from her sputum, and her clinical symptoms were improved with voriconazole treatment. However, she succumbed to Acinetobacter baumannii hospital-acquired pneumonia and acute coronary syndrome with cardiogenic shock after 10 days of treatment., (© 2020 Wiley Periodicals LLC.)
- Published
- 2020
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