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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Autores principales: Radich R.,Jasna, Álvarez Z.,Carlos, Valenzuela R.,Ana, Castillo H.,Felipe, Moraga V.,Francisco, Castillo A.,Jorge
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2017
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872017000801067
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spelling 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
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AT alvarezzcarlos roldelacirugiaenelmanejodelainfeccioninvasoraporsaprochaetecapitata
AT valenzuelarana roldelacirugiaenelmanejodelainfeccioninvasoraporsaprochaetecapitata
AT castillohfelipe roldelacirugiaenelmanejodelainfeccioninvasoraporsaprochaetecapitata
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