Breakthrough trichosporonosis in a bone marrow transplant recipient receiving caspofungin acetate

Clin Infect Dis. 2002 Aug 1;35(3):E35-6. doi: 10.1086/341305. Epub 2002 Jun 27.

Abstract

We report a case of invasive trichosporonosis due to Trichosporon beigelii originating in the left wrist of a bone marrow transplant recipient who was receiving caspofungin acetate as prophylaxis against invasive Aspergillus infection. While the patient's neutrophil count was recovering, treatment with fluconazole and amphotericin B lipid complex resulted in a complete clinical response.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / therapeutic use*
  • Anti-Bacterial Agents / therapeutic use*
  • Antifungal Agents / therapeutic use*
  • Aspergillosis / prevention & control
  • Bone Marrow Transplantation
  • Caspofungin
  • Chemoprevention
  • Drug Therapy, Combination
  • Echinocandins
  • Fluconazole / therapeutic use*
  • Humans
  • Lipopeptides
  • Male
  • Mycoses / drug therapy*
  • Opportunistic Infections / drug therapy
  • Peptides*
  • Peptides, Cyclic*
  • Trichosporon* / drug effects

Substances

  • Anti-Bacterial Agents
  • Antifungal Agents
  • Echinocandins
  • Lipopeptides
  • Peptides
  • Peptides, Cyclic
  • Amphotericin B
  • Fluconazole
  • Caspofungin