Aureobasidium pullulans infection in a patient with chronic lymphocytic leukemia
AUTOR(ES)
Oliveira, Leonardo Rodrigues de, Moraes-Souza, Helio, Maltos, Andre Luiz, Santos, Keila Cristina dos, Molina, Rodrigo Juliano, Barata, Cristina Hueb
FONTE
Rev. Soc. Bras. Med. Trop.
DATA DE PUBLICAÇÃO
2013-09
RESUMO
Saprophytic fungi are being increasingly recognized as etiologic agents of mycoses in immunosuppressed patients. We report a case of subcutaneous infiltration by Aureobasidium pullulans, likely due to traumatic inoculation, in a neutropenic patient during chemotherapy for chronic lymphocytic leukemia. The patient was treated with amphotericin B deoxycholate but was subsequently switched to itraconazole, which improved the lesion. This case highlights the importance of considering unusual fungal infections in critically ill patients such as those who are immunosuppressed due to chemotherapy. Diagnostic techniques and effective antifungal therapy have improved the prognosis of these cases.
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