Department of Microbiology, JLN Medical College and Associated Hospitals, Ajmer, 305001, Rajasthan, India.
Mycopathologia. 2013 Aug;176(1-2):107-11. doi: 10.1007/s11046-013-9649-9. Epub 2013 Apr 17.
We report here a case of non-healing ulcer due to Trichosporon loubieri in an apparently immunocompetent female. The identity of isolate was confirmed by DNA sequencing of D1/D2 region of 26S rDNA. The minimum inhibitory concentrations of the isolate were amphotericin B-0.5 μg/ml; fluconazole-4 μg/ml; posaconazole-0.25 μg/ml; voriconazole-0.06 μg/ml. The patient was managed by extensive debridement and oral fluconazole 150 mg daily for 6 weeks. She responded to therapy. To the best of our knowledge, till date, this is the fourth report of human infection due to T. loubieri and the first of its kind in an immunocompetent host. A review of published literature on infections due to T. loubieri is also included.
我们在此报告一例由 Trichosporon loubieri 引起的非愈合性溃疡,发生于一名看似免疫功能正常的女性。通过对 26S rDNA 的 D1/D2 区域进行 DNA 测序,确认了分离株的身份。分离株的最低抑菌浓度为:两性霉素 B-0.5μg/ml;氟康唑-4μg/ml;泊沙康唑-0.25μg/ml;伏立康唑-0.06μg/ml。对患者进行了广泛清创,并口服氟康唑 150mg,每天一次,持续 6 周。她对治疗有反应。据我们所知,迄今为止,这是第四例由 T. loubieri 引起的人类感染病例,也是首例发生在免疫功能正常宿主中的感染病例。我们还对已发表的关于 T. loubieri 感染的文献进行了回顾。