Endophthalmitis due to Trichosporon beigelii in acute leukemia

Int J Hematol. 2007 Jun;85(5):415-7. doi: 10.1532/IJH97.06228.

Abstract

We describe 2 patients with hematologic malignancy who developed endophthalmitis due to Trichosporon beigelii during the course of treatment with multiagent chemotherapy. Blood cultures revealed T beigelii for both patients. Although one of the patients was treated with fluconazole (FLCZ) and 5-fluorocytosine, the trichosporonous endophthalmitis was resistant to both drugs. This patient subsequently received amphotericin B (AMPH-B) therapy, and the eyes were treated with vitrectomy. The second patient also received AMPH-B for FLCZ-resistant trichosporonous chorioretinitis. In both patients, systemic treatment with AMPH-B successfully resolved the trichosporonous endophthalmitis that was resistant to multiple antifungal drugs. Endophthalmitis due to trichosporonosis is difficult to treat. The administration of AMPH-B is likely to be more effective in treating endophthalmitis due to trichosporonosis when the disease is at an early stage.

Publication types

  • Case Reports

MeSH terms

  • Acute Disease
  • Adult
  • Amphotericin B / administration & dosage
  • Antifungal Agents / administration & dosage
  • Drug Resistance, Fungal
  • Endophthalmitis / complications*
  • Endophthalmitis / drug therapy
  • Endophthalmitis / microbiology*
  • Female
  • Fluconazole / administration & dosage
  • Flucytosine / administration & dosage
  • Humans
  • Leukemia, Myeloid / complications*
  • Leukemia, Myeloid / drug therapy
  • Male
  • Middle Aged
  • Mycoses / complications*
  • Mycoses / drug therapy
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / complications*
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma / drug therapy
  • Trichosporon*

Substances

  • Antifungal Agents
  • Amphotericin B
  • Fluconazole
  • Flucytosine