Two cases of subcutaneous Scedosporium apiospermum infection treated with voriconazole

被引:23
作者
Bosma, F
Voss, A
van Hamersvelt, HW
de Sévaux, RGL
Biert, J
Kullberg, BJ
Melchers, WGJ
Verweij, PE
机构
[1] Univ Med Ctr Nijmegen, Dept Med Microbiol, NL-6500 HB Nijmegen, Netherlands
[2] Univ Med Ctr Nijmegen, Dept Nephrol, NL-6500 HB Nijmegen, Netherlands
[3] Univ Med Ctr Nijmegen, Dept Surg, NL-6500 HB Nijmegen, Netherlands
[4] Univ Med Ctr Nijmegen, Dept Med, NL-6500 HB Nijmegen, Netherlands
关键词
Scedosporium apiospermum; fingerprinting; voriconazole;
D O I
10.1046/j.1469-0691.2003.00596.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Scedosporium apiospermum is a mold that is increasingly being recognized as an opportunistic pathogen in immunocompromised patients, and treatment is complicated by intrinsic resistance to several antifungal agents. In our hospital, two cases of S. apiospermum infection occurring within 2 weeks were successfully treated with voriconazole. Since both patients were infected with an uncommon pathogen, a search for a common nosocomial source was performed. As environmental cultures yielded no S. apiospermum , and random amplified polymorphic DNA (RAPD) fingerprinting showed that the patients' strains were genotypically unrelated, we considered a common nosocomial source of S. apiospermum to be unlikely.
引用
收藏
页码:750 / 753
页数:4
相关论文
共 23 条
[1]   NOSOCOMIAL OUTBREAK CAUSED BY SCEDOSPORIUM-PROLIFICANS (INFLATUM) - 4 FATAL CASES IN LEUKEMIC PATIENTS [J].
ALVAREZ, M ;
PONGA, BL ;
RAYON, C ;
GALA, JG ;
PORTO, MCR ;
GONZALEZ, M ;
MARTINEZSUAREZ, JV ;
RODRIGUEZTUDELA, JL .
JOURNAL OF CLINICAL MICROBIOLOGY, 1995, 33 (12) :3290-3295
[2]   Lymphocutaneous syndrome due to Scedosporium apiospermum [J].
Canet, JJ ;
Pagerols, X ;
Sánchez, C ;
Vives, P ;
Garau, J .
CLINICAL MICROBIOLOGY AND INFECTION, 2001, 7 (11) :648-650
[3]   In vitro activities of four novel triazoles against Scedosporium spp. [J].
Carrillo, AJ ;
Guarro, J .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 2001, 45 (07) :2151-2153
[4]   Genetic diversity among clinical and environmental isolates of Aspergillus fumigatus [J].
Debeaupuis, JP ;
Sarfati, J ;
Chazalet, V ;
Latge, JP .
INFECTION AND IMMUNITY, 1997, 65 (08) :3080-3085
[5]   Genotyping study of Scedosporium apiospermum isolates from patients with cystic fibrosis [J].
Defontaine, A ;
Zouhair, R ;
Cimon, B ;
Carrère, J ;
Bailly, E ;
Symoens, F ;
Diouri, M ;
Hallet, JN ;
Bouchara, JP .
JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (06) :2108-2114
[6]   Efficacy and safety of voriconazole in the treatment of acute invasive aspergillosis [J].
Denning, DW ;
Ribaud, P ;
Milpied, N ;
Caillot, D ;
Herbrecht, R ;
Thiel, E ;
Haas, A ;
Ruhnke, M ;
Lode, H .
CLINICAL INFECTIOUS DISEASES, 2002, 34 (05) :563-571
[7]   In vitro fungicidal activities of voriconazole, itraconazole, and amphotericin B against opportunistic moniliaceous and dematiaceous fungi [J].
Espinel-Ingroff, A .
JOURNAL OF CLINICAL MICROBIOLOGY, 2001, 39 (03) :954-958
[8]   NEAR-DROWNING COMPLICATED BY BRAIN-ABSCESS DUE TO PETRIELLIDIUM-BOYDII [J].
FISHER, JF ;
SHADOMY, S ;
TEABEAUT, JR ;
WOODWARD, J ;
MICHAELS, GE ;
NEWMAN, MA ;
WHITE, E ;
COOK, P ;
SEAGRAVES, A ;
YAGHMAI, F ;
RISSING, JP .
ARCHIVES OF NEUROLOGY, 1982, 39 (08) :511-513
[9]   Use of voriconazole in treatment of Scedosporium apiospermum infection:: Case report [J].
Girmenia, C ;
Luzi, G ;
Monaco, M ;
Martino, P .
JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (05) :1436-1438
[10]   Airborne outbreak of nosocomial Scedosporium prolificans infection [J].
Guerrero, A ;
Torres, P ;
Duran, MT ;
Ruiz-Díez, B ;
Rosales, M ;
Rodriguez-Tudela, JL .
LANCET, 2001, 357 (9264) :1267-1268