[ASPERGILLUS CENTRAL VENOUS CATHETER INFECTION WITH FUNGEMIA IN A PATIENT UNDERGOING HEMODIALYSIS - CASE REPORT].

Harefuah Pub Date : 2025-02-01
Ravit Yakoby, Ami Neuberger, Moran Szwarcwort Cohen, Sigal Mendelsohn, Raya Abu Abas, Anat Stern
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引用次数: 0

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.

[一名血液透析患者的曲霉中心静脉导管感染并伴有真菌血症--病例报告]。
曲霉是免疫功能低下患者中危及生命的感染的重要原因。高风险人群包括长期中性粒细胞减少患者和接受骨髓移植的患者。曲霉病最常见的表现是浸润性曲霉病(IA)累及肺部。微生物学诊断通常涉及呼吸道样本的培养或分子测试,因为血液培养很少生长这种微生物。我们记录了一个不寻常的病例烟曲霉中央静脉线感染涉及血液透析导管,与宏观霉菌生长在多个血液培养。感染可能是在肯尼亚接受血液透析治疗期间获得的,当时正在等待肾移植。
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