Vascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia

Abstract Background Pythium, soil-borne plant pathogens, are in the class Oomycetes. They are not true fungi, but are related to diatom and algae. There are two human pathogens including P. insidiosum and P. aphanidermatum. To date, only one case of pythiosis caused by P. aphanidermatum has been rep...

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Autores principales:	Pannaporn Thongsuk, Rongpong Plongla, Arsa Thammahong, Jaruwan Tiewsurin, Navaporn Worasilchai, Ariya Chindamporn, Chusana Suankratay
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Pythiosis Pythium Pythium insidiosum Pythium aphanidermatum Case report Asia Medicine R
Acceso en línea:	https://doaj.org/article/103c4b3579244fc28b405bb2084a17ae
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spelling	oai:doaj.org-article:103c4b3579244fc28b405bb2084a17ae2021-11-21T12:27:11ZVascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia10.1186/s40001-021-00603-w2047-783Xhttps://doaj.org/article/103c4b3579244fc28b405bb2084a17ae2021-11-01T00:00:00Zhttps://doi.org/10.1186/s40001-021-00603-whttps://doaj.org/toc/2047-783XAbstract Background Pythium, soil-borne plant pathogens, are in the class Oomycetes. They are not true fungi, but are related to diatom and algae. There are two human pathogens including P. insidiosum and P. aphanidermatum. To date, only one case of pythiosis caused by P. aphanidermatum has been reported. We present herein the first case of P. aphanidermatum vascular pythiosis in Asia. Case presentation A 47-year-old Thai woman, living in North Thailand, with ß thalassemia/hemoglobin E presented with acute recurrent arterial insufficiency of both legs. Emergent embolectomy with clot removal was performed. The pathology of the clot exhibited noncaseous granulomatous inflammation with many fungal hyphal elements. PCR identified P. aphanidermatum with 100% identity. Final diagnosis is vascular pythiosis. Unfortunately, the patient eventually expired after treatment with itraconazole, terbinafine, azithromycin, and doxycycline. Conclusions To date, only one case of pythiosis caused by P. aphanidermatum has been reported. We present herein the first case of P. aphanidermatum vascular pythiosis in Asia.Pannaporn ThongsukRongpong PlonglaArsa ThammahongJaruwan TiewsurinNavaporn WorasilchaiAriya ChindampornChusana SuankratayBMCarticlePythiosisPythiumPythium insidiosumPythium aphanidermatumCase reportAsiaMedicineRENEuropean Journal of Medical Research, Vol 26, Iss 1, Pp 1-3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Pythiosis Pythium Pythium insidiosum Pythium aphanidermatum Case report Asia Medicine R
spellingShingle	Pythiosis Pythium Pythium insidiosum Pythium aphanidermatum Case report Asia Medicine R Pannaporn Thongsuk Rongpong Plongla Arsa Thammahong Jaruwan Tiewsurin Navaporn Worasilchai Ariya Chindamporn Chusana Suankratay Vascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia
description	Abstract Background Pythium, soil-borne plant pathogens, are in the class Oomycetes. They are not true fungi, but are related to diatom and algae. There are two human pathogens including P. insidiosum and P. aphanidermatum. To date, only one case of pythiosis caused by P. aphanidermatum has been reported. We present herein the first case of P. aphanidermatum vascular pythiosis in Asia. Case presentation A 47-year-old Thai woman, living in North Thailand, with ß thalassemia/hemoglobin E presented with acute recurrent arterial insufficiency of both legs. Emergent embolectomy with clot removal was performed. The pathology of the clot exhibited noncaseous granulomatous inflammation with many fungal hyphal elements. PCR identified P. aphanidermatum with 100% identity. Final diagnosis is vascular pythiosis. Unfortunately, the patient eventually expired after treatment with itraconazole, terbinafine, azithromycin, and doxycycline. Conclusions To date, only one case of pythiosis caused by P. aphanidermatum has been reported. We present herein the first case of P. aphanidermatum vascular pythiosis in Asia.
format	article
author	Pannaporn Thongsuk Rongpong Plongla Arsa Thammahong Jaruwan Tiewsurin Navaporn Worasilchai Ariya Chindamporn Chusana Suankratay
author_facet	Pannaporn Thongsuk Rongpong Plongla Arsa Thammahong Jaruwan Tiewsurin Navaporn Worasilchai Ariya Chindamporn Chusana Suankratay
author_sort	Pannaporn Thongsuk
title	Vascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia
title_short	Vascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia
title_full	Vascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia
title_fullStr	Vascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia
title_full_unstemmed	Vascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia
title_sort	vascular pythiosis caused by pythium aphanidermatum: the first case report in asia
publisher	BMC
publishDate	2021
url	https://doaj.org/article/103c4b3579244fc28b405bb2084a17ae
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Vascular pythiosis caused by Pythium aphanidermatum: the first case report in Asia

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