{"title":"A case of intracranial infection caused by Aspergillus flavus originating from chronic otitis media","authors":"Ling Yang , Jiacun Su , Chao Zhuo","doi":"10.1016/j.mmcr.2024.100637","DOIUrl":"https://doi.org/10.1016/j.mmcr.2024.100637","url":null,"abstract":"<div><p>Central nervous system (CNS) aspergillosis is uncommon in immunocompetent patients. We present a 64-year-old man with chronic otitis media and uncontrolled diabetes. <em>Aspergillus flavus</em> was identified in cerebrospinal fluid via metagenomics next-generation sequencing technology. Initial voriconazole treatment offered limited relief, but personalized dosage adjustments, guided by drug concentration, led to remission. This case underscores the importance of diverse diagnostic approaches and tailored therapy for CNS <em>Aspergillus</em> infections.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"44 ","pages":"Article 100637"},"PeriodicalIF":2.2,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000113/pdfft?md5=a0e4659cb433cb495b53e4ba554c76d1&pid=1-s2.0-S2211753924000113-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Laman Rahimli , Jon Salmanton-García , Philipp Kasper , Michaela Simon , Oliver A. Cornely , Jannik Stemler
{"title":"Necrotizing pancreatitis with invasive candidiasis and candidemia due to Candida albicans and pan-echinocandin-resistant Candida glabrata","authors":"Laman Rahimli , Jon Salmanton-García , Philipp Kasper , Michaela Simon , Oliver A. Cornely , Jannik Stemler","doi":"10.1016/j.mmcr.2024.100636","DOIUrl":"https://doi.org/10.1016/j.mmcr.2024.100636","url":null,"abstract":"<div><p>We report on a 64-year-old man with necrotizing pancreatitis related, invasive candidiasis, and candidemia. Despite a multidisciplinary management including antifungal therapy, endoscopic interventions and surgery, the patients’ infection progressed and lead to colon perforation, retroperitoneal abscess formation, and polymicrobial bloodstream infections. Resistance to echinocandins in <em>Candida glabrata</em> further complicated the course. This report emphasizes the need for vigilant monitoring and exploring alternative therapeutic approaches for patients in critical conditions.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100636"},"PeriodicalIF":2.2,"publicationDate":"2024-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000101/pdfft?md5=39373b7d47b4cf3bb8d8df2754e50021&pid=1-s2.0-S2211753924000101-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Haemophagocytic lymphohistiocytosis secondary to disseminated histoplasmosis in an immunocompetent patient","authors":"Mallory Morton , Vinay Vanguru , Joo-Shik Shin , Amrita Ronnachit","doi":"10.1016/j.mmcr.2024.100635","DOIUrl":"https://doi.org/10.1016/j.mmcr.2024.100635","url":null,"abstract":"<div><p>Haemophagocytic lymphohistiocytosis secondary to <em>Histoplasma</em> infection is rare and almost always occurs in immunocompromised hosts. We report a 32-year-old immunocompetent man presenting with a nonspecific febrile illness found to have disseminated histoplasmosis and associated haemophagocytic lymphohistiocytosis. The diagnosis was confirmed on histopathological examination and PCR of liver and bone marrow biopsies. He was successfully treated with steroids, intravenous immunoglobulin and itraconazole.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100635"},"PeriodicalIF":2.2,"publicationDate":"2024-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000095/pdfft?md5=fa483becfeccbcdb38767fa88aada861&pid=1-s2.0-S2211753924000095-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Nayla Azanki Hatem , Alessandro C. Pasqualotto , Cecília Bittencourt Severo , Rafael Hannaui Bastos , Rafael de Luca de Lucena , Cezar Vinícius Würdig Riche
{"title":"Septic arthritis caused by Candida dubliniensis following arthroscopic surgery","authors":"Nayla Azanki Hatem , Alessandro C. Pasqualotto , Cecília Bittencourt Severo , Rafael Hannaui Bastos , Rafael de Luca de Lucena , Cezar Vinícius Würdig Riche","doi":"10.1016/j.mmcr.2024.100634","DOIUrl":"https://doi.org/10.1016/j.mmcr.2024.100634","url":null,"abstract":"<div><p>A 37-year-old immunocompetent man was admitted to the emergency department due to recurrent pain and oedema of his right knee. Two months earlier, he had undergone surgery to repair his meniscus. Arthroscopic joint lavage was performed and <em>Candida dubliniensis</em> was recovered in culture. The authors describe the first case of septic arthritis caused by <em>Candida dubliniensis</em>.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100634"},"PeriodicalIF":2.2,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000083/pdfft?md5=d88caddd8014e8308e78e612f3e1a892&pid=1-s2.0-S2211753924000083-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139908468","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Norma B. Fernandez , Bram Spruijtenburg , Iris N. Tiraboschi , Jacques F. Meis , Ana Lugo , María Cecilia López Joffre , Eelco F.J. Meijer
{"title":"Genotyping and clonal origin of Sporothrix brasiliensis in human sporotrichosis cases in Argentina","authors":"Norma B. Fernandez , Bram Spruijtenburg , Iris N. Tiraboschi , Jacques F. Meis , Ana Lugo , María Cecilia López Joffre , Eelco F.J. Meijer","doi":"10.1016/j.mmcr.2024.100633","DOIUrl":"https://doi.org/10.1016/j.mmcr.2024.100633","url":null,"abstract":"<div><p><em>Sporothrix brasiliensis</em> is considered a highly virulent emerging pathogen that causes sporotrichosis in humans, mainly after zoonotic transmission from infected cats. The epidemic of this zoonosis that originated from Brazil has spread in the last decades, generating hyperendemic regions in Latin America. We present two cases of human sporotrichosis causes by <em>S. brasiliensis</em> in Buenos Aires, Argentina, with good clinical response to differing treatments after contact with sick cats. Using Short tandem repeat (STR) genotyping, the two <em>S. brasiliensis</em> cases appear to be introduced from Brazil and likely originate from the same source.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100633"},"PeriodicalIF":2.2,"publicationDate":"2024-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000071/pdfft?md5=9b9dc75c7eb7ee8becadf652f81e04a6&pid=1-s2.0-S2211753924000071-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139936749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robab Ebrahimibarogh , Mona Ghazanfari , Tahereh Shokohi , Ensieh Yousefiabdolmaleki , Amir Seyedmousavi , Mohammad T. Hedayati
{"title":"Tinea capitis due to Microsporum ferrugineum: A case of unusual laboratory finding on direct microscopic examination of infected hairs and skin lesions","authors":"Robab Ebrahimibarogh , Mona Ghazanfari , Tahereh Shokohi , Ensieh Yousefiabdolmaleki , Amir Seyedmousavi , Mohammad T. Hedayati","doi":"10.1016/j.mmcr.2024.100629","DOIUrl":"https://doi.org/10.1016/j.mmcr.2024.100629","url":null,"abstract":"<div><p>Tinea capitis is a chronic fungal infection of the scalp occurring commonly in children of school age, especially in developing countries. It is caused primarily by the dermatophyte members of genera <em>Microsporum</em> and <em>Trichophyton</em>. Here we report presence of free-living mycelial stage of dermatophytes, a stage of fungal growth which form in culture medias, around affected hairs and skin scrapings of scalp lesions in a 3-year-old boy presenting with alopecia and multiple scaly, non-erythematous plaques. On direct microscopy examination using 10 % potassium hydroxide, the fungal hyphae and arthrospores were detected in ectothrix form. In addition, we also observed numerous multicellular, thick-walled spindle-shaped macroconidia around hairs and skin scrapings. To our knowledge this is the first study reporting dermatophyte's macroconidia directly seen on clinical samples. Species level identification of the dermatophyte isolate growing on Mycosel™ agar was confirmed by PCR-sequencing of internal transcribed spacer of ribosomal RNA as <em>Microsporum ferrugineum.</em> The patient was successfully treated with systemic itraconazole combined with topical ketoconazole shampoo.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100629"},"PeriodicalIF":2.2,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000034/pdfft?md5=80b983de33d7ba9ce034beac2ea401c5&pid=1-s2.0-S2211753924000034-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139718572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Malassezia infection associated with stucco keratosis","authors":"Zhan Zhou , Jiali Zhu , Bin Jiao , Songgan Jia , Yanping Jiang","doi":"10.1016/j.mmcr.2024.100630","DOIUrl":"https://doi.org/10.1016/j.mmcr.2024.100630","url":null,"abstract":"<div><p>We report a case of a 20-year-old young woman with a large stucco keratosis in the mons veneris, one of the clinical variants of Seborrheic keratoses (SKs). Periodic acid-Schiff staining revealed a large number of <em>Malassezia</em> spores in the stratum corneum. After oral antifungal treatment with itraconazole for 4 weeks, the benign tumor was completely cleared without residue or recurrence, which may open a new perspective for exploring the pathogenesis of SKs.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100630"},"PeriodicalIF":2.2,"publicationDate":"2024-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000046/pdfft?md5=ffa78a443013fa62817ec77b44b48e3c&pid=1-s2.0-S2211753924000046-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139654187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Syed Nabil , Mohd Ferdaus Isa , Badrul Iskandar Abdul Wahab , Nurismah Md Isa
{"title":"Oral mucosa sporotrichosis: Report of a rare case acquired by direct inoculation","authors":"Syed Nabil , Mohd Ferdaus Isa , Badrul Iskandar Abdul Wahab , Nurismah Md Isa","doi":"10.1016/j.mmcr.2024.100631","DOIUrl":"10.1016/j.mmcr.2024.100631","url":null,"abstract":"<div><p>Sporotrichosis is a rare type of fungal infection caused by <em>Sporothrix</em> fungus. Transmissions are commonly by traumatic inoculation of the fungus through the skin and subcutaneous tissue either from environmental exposure or contact with infected animals. Due to its mode of transmission, it is commonly affecting the upper limbs. Definitive diagnosis can be obtained by fungal culture test on secretion fluids, pus, bloods or tissue biopsy. We report a rare presentation of this disease appearing as a solitary chronic ulcer of the lip which was successfully treated with itraconazole.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100631"},"PeriodicalIF":2.2,"publicationDate":"2024-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000058/pdfft?md5=a97630fd0f2cf32e22f56e4fa393555c&pid=1-s2.0-S2211753924000058-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139638982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Yasser Al-Ghabra , Mohammad Hamdi , Ahmad Alkheder , Ahmad Kammasha , Shams Shamso , Adham Bader Aldeen Mohsen
{"title":"Palatal mucormycosis in a 2-month-old child: A very rare case report and a literature review","authors":"Yasser Al-Ghabra , Mohammad Hamdi , Ahmad Alkheder , Ahmad Kammasha , Shams Shamso , Adham Bader Aldeen Mohsen","doi":"10.1016/j.mmcr.2024.100628","DOIUrl":"10.1016/j.mmcr.2024.100628","url":null,"abstract":"<div><p>A 2-month-old Syrian male child presented with a large blackish ulcerating lesion on his hard palate, along with fever, diarrhea, vomiting, and milk regurgitation from the nose. The child was diagnosed with palatal mucormycosis by histopathology and underwent treatment with liposomal amphotericin B and surgical debridement. However, despite treatment, the child's condition deteriorated, and he died from respiratory failure. An underlying immunodeficiency was not diagnosed, but the family history revealed several deaths of the child's siblings at very early ages due to poorly documented complicated metabolic syndromes. An autopsy was refused by the parents due to cultural reasons.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100628"},"PeriodicalIF":2.2,"publicationDate":"2024-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000022/pdfft?md5=4df4570033271019c97490a871754653&pid=1-s2.0-S2211753924000022-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139638681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mário Pinto, João Rodrigues, Marta Silva, Dionísio Maia, António Miguel
{"title":"Endobronchial amphotericin B to treat hemoptysis in an inoperable patient with aspergillosis","authors":"Mário Pinto, João Rodrigues, Marta Silva, Dionísio Maia, António Miguel","doi":"10.1016/j.mmcr.2024.100627","DOIUrl":"https://doi.org/10.1016/j.mmcr.2024.100627","url":null,"abstract":"<div><p>A 37-year-old man presented with chronic cavitary pulmonary aspergillosis and hemoptysis refractory to systemic antifungal therapy with voriconazole and bronchial artery embolization. Surgical excision was unfeasible due to the patient's refusal of blood transfusions. Ten sessions of intracavitary instillation of amphotericin B via flexible bronchoscopy were then performed. Hemoptysis cessation and aspergilloma resolution were achieved, with no toxicity or side effects, and the clinical benefits were sustained at six months of follow-up.</p></div>","PeriodicalId":51724,"journal":{"name":"Medical Mycology Case Reports","volume":"43 ","pages":"Article 100627"},"PeriodicalIF":2.2,"publicationDate":"2024-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2211753924000010/pdfft?md5=4ff2508192a1e1e69000e7dccd698270&pid=1-s2.0-S2211753924000010-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139493414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}