Co-infection of invasive pulmonary aspergillosis and cutaneous Fusarium infection in a patient with pyoderma gangrenosum.

We report an unusual case of co-infection of invasive pulmonary aspergillosis (IPA) and fusarial skin infection in a patient with classic pyoderma gangrenosum with unknown causes, which were previously controlled with oral prednisolone, cyclosporine. The diagnosis was made on direct microscopy and c...

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Published in:Journal of Research in Medical Sciences Vol. 20; no. 2; pp. 199 - 204
Main Authors: Amirrajab, Nasrin, Aliyali, Masoud, Mayahi, Sabah, Najafi, Narges, Abdi, Ruhollah, Nourbakhsh, Omid, Shokohi, Tahereh
Format: case study diagnostic images pictorial Journal Article
Published: Wolters Kluwer India Pvt Ltd Feb2015
Online Access:View this record in EBSCOhost
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      pub: Wolters Kluwer India Pvt Ltd
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        atl: Co-infection of invasive pulmonary aspergillosis and cutaneous Fusarium infection in a patient with pyoderma gangrenosum.
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        au:
          Amirrajab, Nasrin
          Aliyali, Masoud
          Mayahi, Sabah
          Najafi, Narges
          Abdi, Ruhollah
          Nourbakhsh, Omid
          Shokohi, Tahereh
        affil: Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran
      sug:
        subj:
          Pyoderma Gangrenosum
          Invasive Pulmonary Aspergillosis
          Male
          Adult
          Dermatomycoses
          Prednisolone Administration and Dosage
          Cyclosporine Administration and Dosage
          Sepsis
          Treatment Failure
          Adult: 19-44 years
          Male
      ab: We report an unusual case of co-infection of invasive pulmonary aspergillosis (IPA) and fusarial skin infection in a patient with classic pyoderma gangrenosum with unknown causes, which were previously controlled with oral prednisolone, cyclosporine. The diagnosis was made on direct microscopy and culture of endobronchial washing, bronchoalveolar lavage and skin lesion biopsy. The treatment failed, and the patient expired 12 days following hospitalization. This report highlights the rarity of coexistence of IPA and a chronic fusarial skin infection and thereby reinforcing the physician's attention toward the possibility of invasive fungal infection in the immunosuppressed patients.
      pubtype: Academic Journal
      doctype:
        case study
        diagnostic images
        pictorial
        Journal Article
      ougenre: Article
    language: English
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