Riddell James, Woodside Kenneth J, Leavitt Matthew A, Newton Duane W, Punch Jeffery D
Department of Internal Medicine, Division of Infectious Diseases;
Department of Surgery, Division of Transplantation, ; Current address: Department of Surgery, Division of Transplant and Hepatobiliary Surgery, University Hospitals, Case Medical Center;
Infect Dis Rep. 2010 Nov 2;2(2):e14. doi: 10.4081/idr.2010.e14. eCollection 2010 Aug 4.
Hemodialysis graft infections typically occur as a result of contamination by skin flora at the time of insertion or become secondarily infected after high-grade bacteremia. Infection of implanted vascular devices with filamentous fungi is rare. We report a case of infection of an implanted polytetrafluoroethylene dialysis graft with Fusarium incarnatum/equiseti that did not grow in cultures of tissue but was identified by molecular means.
血液透析移植物感染通常是由于植入时皮肤菌群污染所致,或在严重菌血症后继发感染。丝状真菌感染植入性血管装置的情况较为罕见。我们报告一例由肉色镰刀菌/多隔镰刀菌感染植入的聚四氟乙烯透析移植物的病例,该真菌在组织培养中未生长,但通过分子手段得以鉴定。