Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitata
Saprochaete capitata (S. capitata) fungal sepsis is a severe condition with a clinical presentation that is similar to other yeast originated fungal sepsis. It is observed in patients with hematological malignancies such as acute myeloid leukemia and neutropenia. We report a 23 year old male present...
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Sociedad Médica de Santiago
2017
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oai:scielo:S0034-988720170008010672017-11-27Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitataRadich R.,JasnaÁlvarez Z.,CarlosValenzuela R.,AnaCastillo H.,FelipeMoraga V.,FranciscoCastillo A.,Jorge Leukemia Mycoses Surgical Procedures, Operative Saprochaete capitata (S. capitata) fungal sepsis is a severe condition with a clinical presentation that is similar to other yeast originated fungal sepsis. It is observed in patients with hematological malignancies such as acute myeloid leukemia and neutropenia. We report a 23 year old male presenting with cough, fever and malaise. A bone marrow biopsy led to the diagnosis of acute myeloid leukemia. During the first cycle of chemotherapy the patient presented fever: blood cultures were positive for Klebsiella pneumoniae. Despite antimicrobial treatment, fever persisted; a computed tomography showed a focal splenic lesion; a left exudative pleural effusion appeared. A Matrix Assisted Laser Desorption Ionization-Time of Flight mass spectrometry identified the presence of S. capitata. After multiple antifungal treatments and pleural cavity cleansing by means of videothoracoscopy and laparoscopic splenectomy, the infection resolved and the patient completed his chemotherapy.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.145 n.8 20172017-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000801067es10.4067/s0034-98872017000801067 |
institution |
Scielo Chile |
collection |
Scielo Chile |
language |
Spanish / Castilian |
topic |
Leukemia Mycoses Surgical Procedures, Operative |
spellingShingle |
Leukemia Mycoses Surgical Procedures, Operative Radich R.,Jasna Álvarez Z.,Carlos Valenzuela R.,Ana Castillo H.,Felipe Moraga V.,Francisco Castillo A.,Jorge Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitata |
description |
Saprochaete capitata (S. capitata) fungal sepsis is a severe condition with a clinical presentation that is similar to other yeast originated fungal sepsis. It is observed in patients with hematological malignancies such as acute myeloid leukemia and neutropenia. We report a 23 year old male presenting with cough, fever and malaise. A bone marrow biopsy led to the diagnosis of acute myeloid leukemia. During the first cycle of chemotherapy the patient presented fever: blood cultures were positive for Klebsiella pneumoniae. Despite antimicrobial treatment, fever persisted; a computed tomography showed a focal splenic lesion; a left exudative pleural effusion appeared. A Matrix Assisted Laser Desorption Ionization-Time of Flight mass spectrometry identified the presence of S. capitata. After multiple antifungal treatments and pleural cavity cleansing by means of videothoracoscopy and laparoscopic splenectomy, the infection resolved and the patient completed his chemotherapy. |
author |
Radich R.,Jasna Álvarez Z.,Carlos Valenzuela R.,Ana Castillo H.,Felipe Moraga V.,Francisco Castillo A.,Jorge |
author_facet |
Radich R.,Jasna Álvarez Z.,Carlos Valenzuela R.,Ana Castillo H.,Felipe Moraga V.,Francisco Castillo A.,Jorge |
author_sort |
Radich R.,Jasna |
title |
Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitata |
title_short |
Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitata |
title_full |
Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitata |
title_fullStr |
Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitata |
title_full_unstemmed |
Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitata |
title_sort |
rol de la cirugía en el manejo de la infección invasora por saprochaete capitata |
publisher |
Sociedad Médica de Santiago |
publishDate |
2017 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000801067 |
work_keys_str_mv |
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