Cerebral aspergillosis caused by Aspergillus ustus following orthotopic heart transplantation: case report and review of the literature

被引:15
作者
Florescu, Diana F. [1 ]
Iwen, Peter C. [2 ]
Hill, Lisa A.
Dumitru, Ioana [3 ]
Quader, Mohammed A. [4 ]
Kalil, Andre C.
Freifeld, Alison G.
机构
[1] Univ Nebraska, Med Ctr, Dept Internal Med,Sect Infect Dis, Immunocompromised Host Infect Dis Program, Omaha, NE 68198 USA
[2] Univ Nebraska, Med Ctr, Dept Pathol & Microbiol, Omaha, NE 68198 USA
[3] Univ Nebraska, Med Ctr, Dept Internal Med, Cardiol Sect, Omaha, NE 68198 USA
[4] Univ Nebraska, Med Ctr, Dept Internal Med, Sect Cardiothorac Surg, Omaha, NE 68198 USA
关键词
Aspergillus ustus; cerebral aspergillosis; heart transplant; COMBINATION ANTIFUNGAL THERAPY; MOLD INFECTIONS; AMPHOTERICIN-B; INVASIVE ASPERGILLOSIS; VORICONAZOLE; CASPOFUNGIN; RECIPIENTS; IDENTIFICATION; REGIONS;
D O I
10.1111/j.1399-0012.2008.00895.x
中图分类号
R61 [外科手术学];
学科分类号
摘要
This report describes the first case of cerebral aspergillosis in a heart transplantation patient caused by Aspergillus ustus and reviews 15 previously reported cases of invasive aspergillosis in immunocompromised hosts caused by this mold. The utility of molecular analysis for the identification of unusual fungal pathogens is also described. The refractory nature of A. ustus to treatment is similar to other Aspergillus species and treatment options are reviewed.
引用
收藏
页码:116 / 120
页数:5
相关论文
共 27 条
[1]   Use of lung resection and voriconazole for successful treatment of invasive pulmonary Aspergillus ustus infection [J].
Azzola, A ;
Passweg, JR ;
Habicht, JM ;
Bubendorf, L ;
Tamm, M ;
Gratwohl, A ;
Eich, G .
JOURNAL OF CLINICAL MICROBIOLOGY, 2004, 42 (10) :4805-4808
[2]   Invasive mold infections in allogeneic bone marrow transplant recipients [J].
Baddley, JW ;
Stroud, TP ;
Salzman, D ;
Pappas, PG .
CLINICAL INFECTIOUS DISEASES, 2001, 32 (09) :1319-1324
[3]   Serum Aspergillus galactomannan antigen testing by sandwich ELISA: Practical use in neutropenic patients [J].
Bretagne, S ;
MarmoratKhuong, A ;
Kuentz, M ;
Latge, JP ;
BartDelabesse, E ;
Cordonnier, C .
JOURNAL OF INFECTION, 1997, 35 (01) :7-15
[4]   EXPERIMENTAL STUDY OF PATHOGENICITY OF ASPERGILLI FOR MICE [J].
FORD, S ;
FRIEDMAN, L .
JOURNAL OF BACTERIOLOGY, 1967, 94 (04) :928-&
[5]  
Grossi P, 2000, TRANSPLANTATION, V70, P112
[6]   Identification of Aspergillus species using internal transcribed spacer regions 1 and 2 [J].
Henry, T ;
Iwen, PC ;
Hinrichs, SH .
JOURNAL OF CLINICAL MICROBIOLOGY, 2000, 38 (04) :1510-1515
[7]   Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis [J].
Herbrecht, R ;
Denning, DW ;
Patterson, TF ;
Bennett, JE ;
Greene, RE ;
Oestmann, JW ;
Kern, WV ;
Marr, KA ;
Ribaud, P ;
Lortholary, O ;
Sylvester, R ;
Rubin, RH ;
Wingard, JR ;
Stark, P ;
Durand, C ;
Caillot, D ;
Thiel, E ;
Chandrasekar, PH ;
Hodges, MR ;
Schlamm, HT ;
Troke, PF ;
de Pauw, B .
NEW ENGLAND JOURNAL OF MEDICINE, 2002, 347 (06) :408-415
[8]   Assessment of ribosomal large-subunit D1-D2, internal transcribed spacer 1, and internal transcribed spacer 2 regions as targets for molecular identification of medically important Aspergillus species [J].
Hinrikson, HP ;
Hurst, SF ;
Lott, TJ ;
Warnock, DW ;
Morrison, CJ .
JOURNAL OF CLINICAL MICROBIOLOGY, 2005, 43 (05) :2092-2103
[9]   Disseminated aspergillosis caused by Aspergillus ustus in a patient following allogeneic peripheral stem cell transplantation [J].
Iwen, PC ;
Rupp, ME ;
Bishop, MR ;
Rinaldi, MG ;
Sutton, DA ;
Tarantolo, S ;
Hinrichs, SH .
JOURNAL OF CLINICAL MICROBIOLOGY, 1998, 36 (12) :3713-3717
[10]   Mucor circinelloides was identified by molecular methods as a cause of primary cutaneous zygomycosis [J].
Iwen, Peter C. ;
Sigler, Lynne ;
Noel, Rhonda K. ;
Freifeld, Alison G. .
JOURNAL OF CLINICAL MICROBIOLOGY, 2007, 45 (02) :636-640