Departamento de Medicina Tropical, Universidade Federal de Pernambuco, Recife, Brazil.
Departamento de Micologia, Universidade Federal de Pernambuco, Recife, Brazil.
Mycopathologia. 2020 Apr;185(2):395-398. doi: 10.1007/s11046-019-00415-x. Epub 2020 Jan 2.
Emergent fungal infections are uncommon conditions which frequently lead to death. To our knowledge, only a few cases of invasive infection by Cystobasidium minutum (previously known as Rhodotorula minuta) have been reported. Moreover, several factors are responsible for deep site infections, such as catheter-related fungemia. This report describes the first case report of Cystobasidium minutum causing fungemia in Brazil. The pathogens fungemia was demonstrated by catheter and blood culture-proven, and both yeasts were identified by sequences of D1/D2 rDNA region. After the end of antifungal therapy and catheter removal, a second blood culture was found to be negative and the clinical signs and symptoms of the patient improved.
真菌性急症感染较为少见，但常可导致死亡。据我们所知，仅有少数几例由小滑霉（先前被称为微小红酵母）引起的侵袭性感染的报告。此外，导管相关性真菌血症等多种因素可导致深部部位感染。本报告描述了巴西首例小滑霉导致真菌血症的病例报告。病原体通过导管和血液培养得到证实，通过 D1/D2 rDNA 区序列鉴定出两种酵母菌。在抗真菌治疗和导管移除结束后，第二次血培养结果为阴性，患者的临床症状和体征得到改善。
