Pneumonia involving Aspergillus and Rhizopus spp. after a near-drowning incident with subsequent Nocardia cyriacigeorgici and N-farcinica coinfection as a late complication

被引：31

作者：

van Dam, AP

Pruijm, MTC

Harinck, BIJ

Gelinck, LBS

Kuijper, EJ

机构：

[1] Leiden Univ, Med Ctr, Clin Microbiol Lab, NL-2300 RC Leiden, Netherlands

[2] Leiden Univ, Med Ctr, Dept Intens Care, NL-2300 RA Leiden, Netherlands

[3] Leiden Univ, Med Ctr, Dept Infect Dis, NL-2300 RA Leiden, Netherlands

来源：

EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES | 2005年 / 24卷 / 01期

关键词：

D O I：

10.1007/s10096-004-1263-9

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Reported here is the case of a 22-year-old man who developed pneumonia with unusual pathogens after a near-drowning incident. On day 7 following admission, Rhizopus spp. and Aspergillus fumigatus were cultured from the patient's bronchoalveolar lavage fluid. One week later, sputum cultures revealed N. cyriacigeorgici as well as N. farcinica. The patient recovered fully after prolonged therapy with liposomal amphotericin B, amikacin, meropenem and cotrimoxazole.

引用

收藏

页码：61 / 64

页数：4

相关论文

共 19 条

[1] Isolated pulmonary mucormycosis in a patient with multiple injuries: A case presentation and review of the literature [J].

Aboutanos, MB ;

Joshi, M ;

Scalea, TM .

JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2003, 54 (05) :1016-1019

[2] Comparison of agar dilution, broth microdilution, disk diffusion, E-test, and BACTEC radiometric methods for antimicrobial susceptibility testing of clinical isolates of the Nocardia asteroides complex [J].

Ambaye, A ;

Kohner, PC ;

Wollan, PC ;

Roberts, KL ;

Roberts, GD ;

Cockerill, FR .

JOURNAL OF CLINICAL MICROBIOLOGY, 1997, 35 (04) :847-852

[3]

[Anonymous], 2003, Manual of clinical microbiology

[4] Evaluation of partial 16S ribosomal DNA sequencing for idefitification of Nocardia species by using the MicroSeq 500 system with an expanded database [J].

Cloud, JL ;

Conville, PS ;

Croft, A ;

Harmsen, D ;

Witebsky, FG ;

Carroll, KC .

JOURNAL OF CLINICAL MICROBIOLOGY, 2004, 42 (02) :578-584

[5] The first echinocandin: caspofungin [J].

Cornely, OA ;

Schmitz, K ;

Aisenbrey, S .

MYCOSES, 2002, 45 :56-60

[6] Pneumonia associated with near-drowning [J].

Ender, PT ;

Dolan, MJ .

CLINICAL INFECTIOUS DISEASES, 1997, 25 (04) :896-907

[7] THERAPY OF PULMONARY NOCARDIOSIS IN IMMUNOCOMPROMISED MICE [J].

GOMBERT, ME ;

BERKOWITZ, LB ;

AULICINO, TM ;

DUBOUCHET, L .

ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1990, 34 (09) :1766-1768

[8] Identification of medically relevant Nocardia species with an abbreviated battery of tests [J].

Kiska, DL ;

Hicks, K ;

Pettit, DJ .

JOURNAL OF CLINICAL MICROBIOLOGY, 2002, 40 (04) :1346-1351

[9] Genotypic identification of erythromycin-resistant Campylobacter isolates as Helicobacter species and analysis of resistance mechanism [J].

Kuijper, EJ ;

Stevens, S ;

Imamura, T ;

de Wever, B ;

Claas, ECJ .

JOURNAL OF CLINICAL MICROBIOLOGY, 2003, 41 (08) :3732-3736

[10] Pulmonary mucormycosis - The last 30 years [J].

Lee, FYW ;

Mossad, SB ;

Adal, KA .

ARCHIVES OF INTERNAL MEDICINE, 1999, 159 (12) :1301-1309