Successful Treatment of Intestinal Mycosis Caused by a Simultaneous Infection with Lichtheimia ramosa and Aspergillus calidoustus

A 53-year-old woman was hospitalized due to septic shock after developing pneumococcal pneumonia after undergoing esophageal cancer surgery. Her transverse colon became perforated after receiving antimicrobial chemotherapy; therefore, emergency subtotal colectomy was performed. Fungi detected in bot...

Full description

Saved in:
Bibliographic Details
Published inInternal Medicine Vol. 57; no. 16; pp. 2421 - 2424
Main Authors Kaneko, Yukihiro, Oinuma, Ken-Ichi, Terachi, Tsuneko, Arimura, Yasuaki, Niki, Mamiko, Yamada, Koichi, Kakeya, Hiroshi, Mizutani, Tetsu
Format Journal Article
LanguageEnglish
Published Japan The Japanese Society of Internal Medicine 15.08.2018
Japan Science and Technology Agency
Subjects
Online AccessGet full text

Cover

Loading…
More Information
Summary:A 53-year-old woman was hospitalized due to septic shock after developing pneumococcal pneumonia after undergoing esophageal cancer surgery. Her transverse colon became perforated after receiving antimicrobial chemotherapy; therefore, emergency subtotal colectomy was performed. Fungi detected in both her colon tissue and a drainage sample indicated intestinal mucormycosis. Early intensive treatment with high-dose liposomal amphotericin B was successful, and she was subsequently discharged from the hospital. The fungal isolates were identified to be Lichtheimia ramosa and Aspergillus calidoustus via gene sequencing using panfungal primers as well as species-specific primers against elongation factor 1 and beta-tubulin for detecting Lichtheimia and Aspergillus, respectively.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
Correspondence to Dr. Yukihiro Kaneko, ykaneko@med.osaka-cu.ac.jp
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.0254-17