tailieunhanh - Báo cáo y học: "Cutaneous Fusarium infection in a renal transplant recipient: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Cutaneous Fusarium infection in a renal transplant recipient: a case report. | Banerji and Singh J Journal of Medical Case Reports 2011 5 205 http content 5 1 205 JOURNALOF medical case reports CASE REPORT Open Access Cutaneous Fusarium infection in a renal transplant recipient a case report John S Banerji and Chandra Singh J Abstract Introduction Fungal infections in the immunocompromised host are fairly common. Of the mycoses Fusarium species are an emerging threat. Fusarium infections have been reported in solid organ transplants with three reports of the infection in patients who had received renal transplants. To the best of our knowledge this is the first case of an isolated cutaneous lesion as the only form of infection. Case presentation We report the case of a 45-year-old South Indian man who presented with localized cutaneous Fusarium infection following a renal transplant. Conclusion In an immunocompromised patient even an innocuous lesion needs to be addressed with the initiation of prompt treatment. Introduction Fusarium species are common soil saprophytes and plant pathogens. Young and Meyers 1 first reported Fusarium infection in the late 1970s. Since then several species have been recognized to be agents of superficial infections keratitis cutaneous infections onychomycosis and infection of wounds or burns in humans 2 . More recently deep-seated disseminated infections have been increasingly described in immunocompromised patients especially in neutropenic patients 3 4 . The prognosis is very poor and death occurs in up to 70 of the cases despite antifungal therapy 4 . The Fusarium species most frequently involved in human infections are Fusarium solani F. oxysporum and F. moniliforme. Case report A 45-year-old South Indian man underwent a renal allograft transplant for end-stage renal disease. He was administered tacrolimus mycophenolate and prednisolone as immunosuppressive therapy. On follow-up at six months he complained of a small painless nodule on his right calf. He had no fever redness or .