Wong J S J, Schousboe M I, Metcalf S S L, Endre Z H, Hegarty J M, Maze M J, Keith E R, Seaward L M, Podmore R G
Department of Microbiology, Canterbury Health Laboratories, Christchurch, New Zealand.
Transpl Infect Dis. 2010 Oct;12(5):455-8. doi: 10.1111/j.1399-3062.2010.00523.x.
Ochroconis gallopava has rarely been isolated in immunosuppressed patients. We report the first case to our knowledge of O. gallopava peritonitis in a cardiac transplant patient on continuous ambulatory peritoneal dialysis. A 58-year-old man who had undergone cardiac transplant 8 years earlier alerted his dialysis nurses to the presence of black material in his catheter lumen. Fungal hyphae were seen on direct microscopy of the black material and from the dialysate effluent, and O. gallopava was cultured from both after 1 day. He was treated successfully with a single dose of intravenous voriconazole, followed by 2 weeks of oral voriconazole.
在免疫抑制患者中很少分离出驰马赭霉。据我们所知，我们报告了首例在持续非卧床腹膜透析的心脏移植患者中发生的驰马赭霉腹膜炎病例。一名8年前接受心脏移植的58岁男性提醒他的透析护士注意其导管腔内有黑色物质。在黑色物质的直接显微镜检查和透析液流出物中均可见真菌菌丝，1天后两者均培养出驰马赭霉。他接受了单剂量静脉注射伏立康唑治疗，随后口服伏立康唑2周，治疗成功。
