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Article Dans Une Revue Mycopathologia Année : 2010

Acremonium strictum Fungaemia in a Paediatric Immunocompromised Patient: Diagnosis and Treatment Difficulties

Hikombo Hitoto
  • Fonction : Auteur
Béatrice Weil
  • Fonction : Auteur
Petronella Rachieru-Sourisseau
  • Fonction : Auteur

Résumé

During the past two decades, an increasing number of unusual moulds has been reported as responsible for septicaemia and systemic or disseminated infections in immunocompromised patients. Investigation of fever in a 10-year-old boy with acute myeloblastic leukaemia, including blood cultures on selective media, allowed the diagnosis of a fungaemia due to the slow-growing fungus Acremonium strictum. The patient recovered with liposomal amphotericin B (AmB) and voriconazole, followed by voriconazole alone due to AmB resistance. Facing a neutropenic patient with fever, clinicians usually suspect bacterial or viral aetiologies. This case, however, illustrates the need for mycological analysis of blood samples in febrile neutropenic patients and for antifungal susceptibility testing.

Dates et versions

hal-03134641 , version 1 (08-02-2021)

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Citer

Hikombo Hitoto, Marc Pihet, Béatrice Weil, Dominique Chabasse, Jean-Philippe Bouchara, et al.. Acremonium strictum Fungaemia in a Paediatric Immunocompromised Patient: Diagnosis and Treatment Difficulties. Mycopathologia, 2010, 170 (3), pp.161 - 164. ⟨10.1007/s11046-010-9306-5⟩. ⟨hal-03134641⟩

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