Disseminated Trichosporon asahii infection in a preterm


Yildiran A., Kucukoduk S., Sanic A., Belet N., Guvenli A.

AMERICAN JOURNAL OF PERINATOLOGY, cilt.20, sa.5, ss.269-271, 2003 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 5
  • Basım Tarihi: 2003
  • Dergi Adı: AMERICAN JOURNAL OF PERINATOLOGY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.269-271
  • Anahtar Kelimeler: Trichosporon asahii, preterm, amphotericin B, BEIGELII INFECTION
  • Ondokuz Mayıs Üniversitesi Adresli: Evet

Özet

Trichosporon asahii (T asahii) is an uncommon cause of yeast infection in preterms. We present a 27-week gestational age female with clinical evidence of sepsis, such as patchy infiltrations on chest roentgenogram, and yeast growing in urine and blood cultures. Conventional amphotericin B was empirically added in a dose of 0.5 mg/kg, q8h to standard protocol of the neonatal intensive care unit. Dose of the drug was induced to 1 mg/kg because the patient had not improved when the organism was identified as T asahii on the pretreatment urine and blood cultures. Both cultures were clear on the 10th day of amphotericin B therapy and treatment was ceased on the 21st day. The patient was healthy when discharged. Trichosporon infections in neonates have been almost uniformly fatal. Most strains of T asahii may be confused with Candida spp. on initial culture examinations. Therefore, delays in appropriate treatment may occur.