1. A Mosquito Bite with Devastating Complications in an Immunocompromised Patient
- Author
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Jochen J. Frietsch, Nils Winkelmann, Friederike Hunstig, Ulf Schnetzke, Friedrich J. Hammersen, Torsten Dönicke, Mark Lenz, Florian Gras, Sebastian Scholl, Andreas Hochhaus, and Inken Hilgendorf
- Subjects
Aspergillus flavus ,Hematopoietic stem cell transplantation ,Mesh graft ,Phlegmon ,Very severe aplastic anemia ,Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,RC254-282 - Abstract
Infectious complications such as invasive aspergillosis or infection with Stenotrophomonas maltophilia (SM) in immunocompromised patients are associated with a high mortality rate. Our report concerns a 40-year-old male newly diagnosed very severe aplastic anemia (vSAA) who in consequence of a mosquito bite was suffering from skin lesion and consecutive soft tissue phlegmon subsequent to the administration of antithymocyte globulin; a full-thickness autologous meshed skin graft successfully performed to cover skin ulcera after allogeneic stem cell transplantation (SCT). This unusual case illustrates the importance of appropriate diagnosis, anti-infective therapy and close interdisciplinary diagnostic algorithms to minimalize side effects and the selection of resistant strains and to improve patients’ outcome.
- Published
- 2019
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