1. [ASPERGILLUS CENTRAL VENOUS CATHETER INFECTION WITH FUNGEMIA IN A PATIENT UNDERGOING HEMODIALYSIS - CASE REPORT].
- Author
-
Yakoby R, Neuberger A, Szwarcwort Cohen M, Mendelsohn S, Abu Abas R, and Stern A
- Subjects
- Humans, Male, Immunocompromised Host, Middle Aged, Catheterization, Central Venous adverse effects, Antifungal Agents administration & dosage, Antifungal Agents therapeutic use, Renal Dialysis adverse effects, Renal Dialysis methods, Catheter-Related Infections microbiology, Catheter-Related Infections diagnosis, Central Venous Catheters adverse effects, Central Venous Catheters microbiology, Fungemia diagnosis, Fungemia microbiology, Fungemia etiology, Aspergillus fumigatus isolation & purification, Aspergillosis diagnosis, Aspergillosis etiology
- Abstract
Introduction: Aspergillus species are an important cause of life-threatening infections in immunocompromised patients. Those considered at high risk include patients with prolonged neutropenia, and patients who underwent bone marrow transplantation. The most common presentation of aspergillosis is invasive aspergillosis (IA) with pulmonary involvement. Microbiologic diagnosis usually involves culture or molecular tests of respiratory tract samples as blood cultures rarely grow this organism. We document an unusual case of Aspergillus fumigatus central venous line infection involving a hemodialysis catheter, with macroscopic mold growing in multiple blood cultures. The infection was probably acquired during hemodialysis treatment in Kenya, while awaiting kidney transplantation.
- Published
- 2025