DISSEMINATED FUSARIUM-SOLANI INFECTION

被引:32
作者
BUSHELMAN, SJ [1 ]
CALLEN, JP [1 ]
ROTH, DN [1 ]
COHEN, LM [1 ]
机构
[1] UNIV LOUISVILLE, DIV DERMATOL, LOUISVILLE, KY 40292 USA
关键词
D O I
10.1016/0190-9622(95)90401-8
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Disseminated fungal infections commonly occur in immunocompromised hosts; Candida spp. are the most common. Fusarium spp., soil saprophytes once considered pathogenic only in plants, have emerged as serious pathogens in neutropenic patients with malignancies. We describe two patients, one with acute myelogenous leukemia and the other with metastatic breast cancer, in whom disseminated Fusarium solani infection developed. Both patients had neutropenia and fever when generalized, tender, erythematous papules developed; most of the papules had black necrotic centers. Despite aggressive therapy with antifungal agents and granulocyte-macrophage colony-stimulating factor, both patients died within 1 month. Disseminated Fusarium infection can be a life-threatening condition in which skin lesions are frequently the initial sign. Early recognition and hematopoietic recovery offer the best chance for survival.
引用
收藏
页码:346 / 351
页数:6
相关论文
共 55 条
  • [1] SYSTEMIC INFECTION BY FUSARIUM IN A BURNED CHILD - EMERGENCE OF A SAPROPHYTIC STRAIN
    ABRAMOWSKY, CR
    QUINN, D
    CONANT, NF
    BRADFORD, WD
    [J]. JOURNAL OF PEDIATRICS, 1974, 84 (04) : 561 - 564
  • [2] FUSARIUM MENINGOENCEPHALITIS IN A CHILD WITH ACUTE-LEUKEMIA
    AGAMANOLIS, DP
    KALWINSKY, DK
    KRILL, CE
    DASU, S
    HALASA, B
    GALLOWAY, PG
    [J]. NEUROPEDIATRICS, 1991, 22 (02) : 110 - 112
  • [3] CUTANEOUS FUSARIUM INFECTION IN AN ADOLESCENT WITH ACUTE-LEUKEMIA
    ALVAREZFRANCO, M
    REYESMUGICA, M
    PALLER, AS
    [J]. PEDIATRIC DERMATOLOGY, 1992, 9 (01) : 62 - 65
  • [4] THE EMERGING ROLE OF FUSARIUM INFECTIONS IN PATIENTS WITH CANCER
    ANAISSIE, E
    KANTARJIAN, H
    RO, J
    HOPFER, R
    ROLSTON, K
    FAINSTEIN, V
    BODEY, G
    [J]. MEDICINE, 1988, 67 (02) : 77 - 83
  • [5] ANAISSIE E, 1986, CANCER-AM CANCER SOC, V57, P2141, DOI 10.1002/1097-0142(19860601)57:11&lt
  • [6] 2141::AID-CNCR2820571110&gt
  • [7] 3.0.CO
  • [8] 2-N
  • [9] BARRIOS NJ, 1990, AM J PEDIAT HEMATOL, V12, P319
  • [10] FACIAL GRANULOMA ASSOCIATED WITH FUSARIUM INFECTION
    BENJAMIN, RP
    CALLAWAY, JL
    CONANT, NF
    [J]. ARCHIVES OF DERMATOLOGY, 1970, 101 (05) : 598 - +