Korean J Clin Microbiol.  2002 Sep;5(2):151-154.

A Case Report of Invasive Infection due to Trichosporon beigelii in a Patient with Acute Leukemia

• Lim H
• Kim DS
• Lee HS
• Choi SI

Abstract

Systemic infection due to Trichosporon beigelii is uncommon but increasingly reported in immunocompromised patients. Trichosporonosis is often refractory to conventional antifungal therapy and frequently fatal. We report a case of systemic T. beigelii infection in a patient with acute leukemia. The 35-year-old male patient had been diagnosed as acute myelogenous leukemia with severe neutropenia and received cytotoxic drug therapy. As a fever developed on the day 21 of chemotherapy, broad spectrum antibiotics were administered empirically. Even though an antifungal drug, amphotericin B was replaced because the blood cultures resulted in T. beigelii, the patient died of the septic shock. We think that T. beigelii should be included as a potential life-threatening pathogen capable of causing widespread systemic disease in the immunocompromised host.

Keyword

Trichosporon beigelii; Acute leukemia; Imunocompromised

MeSH Terms

Adult
Amphotericin B
Anti-Bacterial Agents
Drug Therapy
Fever
Humans
Immunocompromised Host
Leukemia*
Leukemia, Myeloid, Acute
Male
Neutropenia
Shock, Septic
Trichosporon*
Trichosporonosis
Amphotericin B
Anti-Bacterial Agents