CATHETER-RELATED CUTANEOUS ASPERGILLOSIS COMPLICATED BY FUNGEMIA AND FATAL PULMONARY INFECTION IN AN HIV-POSITIVE PATIENT WITH ACUTE LYMPHOCYTIC-LEUKEMIA

被引:15
作者
GIRMENIA, C [1 ]
GASTALDI, R [1 ]
MARTINO, P [1 ]
机构
[1] UNIV ROMA LA SAPIENZA,DEPT HUMAN BIOPATHOL,HAEMATOL SECT,I-00161 ROME,ITALY
关键词
D O I
10.1007/BF02113431
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A case of intravenous catheter-related cutaneous aspergillosis and Aspergillus fumigatus fungemia in an HIV-positive patient with Burkitt-cell acute lymphocytic leukemia is reported. The patient developed pulmonary aspergillosis with a rapidly fatal outcome despite recovery from neutropenia and improvement of the underlying malignancy. The unusual severity and rapid spread of the infection, despite normal neutrophil count and prompt antifungal therapy, suggest that HIV-related immunocompromise might play a role in the impairment of host defences against Aspergillus infection. Thus catheter-related cutaneous aspergillosis could lead to a severe deep-seated infection in HIV-positive patients.
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页码:524 / 526
页数:3
相关论文
共 17 条
[1]   PRIMARY CUTANEOUS ASPERGILLOSIS ASSOCIATED WITH HICKMAN INTRAVENOUS CATHETERS [J].
ALLO, MD ;
MILLER, J ;
TOWNSEND, T ;
TAN, C .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (18) :1105-1108
[2]  
BENDER BS, 1988, REV INFECT DIS, V10, P1142
[3]   PULMONARY ASPERGILLOSIS IN THE ACQUIRED-IMMUNODEFICIENCY-SYNDROME [J].
DENNING, DW ;
FOLLANSBEE, SE ;
SCOLARO, M ;
NORRIS, S ;
EDELSTEIN, H ;
STEVENS, DA .
NEW ENGLAND JOURNAL OF MEDICINE, 1991, 324 (10) :654-662
[4]   IMPAIRED NEUTROPHIL FUNCTION IN PATIENTS WITH AIDS OR AIDS-RELATED COMPLEX - A COMPREHENSIVE EVALUATION [J].
ELLIS, M ;
GUPTA, S ;
GALANT, S ;
HAKIM, S ;
VANDEVEN, C ;
TOY, C ;
CAIRO, MS .
JOURNAL OF INFECTIOUS DISEASES, 1988, 158 (06) :1268-1276
[5]   INVASIVE PULMONARY ASPERGILLOSIS ASSOCIATED WITH INFLUENZA [J].
FISCHER, JJ ;
WALKER, DH .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1979, 241 (14) :1493-1494
[6]  
KARAM GH, 1986, REV INFECT DIS, V8, P357
[7]  
LAZZARIN A, 1986, CLIN EXP IMMUNOL, V65, P105
[8]   INVASIVE ASPERGILLOSIS IN PATIENTS WITH ACQUIRED-IMMUNODEFICIENCY-SYNDROME - REPORT OF 33 CASES [J].
LORTHOLARY, O ;
MEYOHAS, MC ;
DUPONT, B ;
CADRANEL, J ;
SALMONCERON, D ;
PEYRAMOND, D ;
SIMONIN, D ;
FROTTIER, J ;
GILQUIN, J ;
ARMENGAUD, M ;
CHOUAID, C ;
DELZANT, G ;
DETRUCHIS, P ;
DOURNAN, E .
AMERICAN JOURNAL OF MEDICINE, 1993, 95 (02) :177-187
[9]  
MARTINO P, 1990, REV INFECT DIS, V12, P611
[10]   INVASIVE ASPERGILLOSIS IN PATIENTS WITH AIDS [J].
MINAMOTO, GY ;
BARLAM, TF ;
VANDERELS, NJ .
CLINICAL INFECTIOUS DISEASES, 1992, 14 (01) :66-74