Department of Infectious Diseases, St. Mary's Hospital, Japan.
Department of Pharmacy, St. Mary's Hospital, Japan.
Intern Med. 2022 Sep 1;61(17):2677-2680. doi: 10.2169/internalmedicine.8260-21. Epub 2022 Feb 8.
A 66-year-old man was admitted to our hospital for gastrointestinal perforation. He had a history of surgery and chemotherapy for colorectal cancer and had a subcutaneously implanted central venous port catheter. After surgery for gastrointestinal tract perforation, he developed an intra-abdominal abscess, which was treated with broad-spectrum antimicrobial agents and improved. Following this improvement, Rhodotorula spp. was detected in a blood culture and at the catheter tip. He was asymptomatic despite having fungemia. His condition improved after the removal of the catheter and the administration of antifungal drugs. Fungemia due to Rhodotorula spp. is rare, and asymptomatic fungemia is even rarer.
一位 66 岁男性因胃肠道穿孔被收入我院。他有结直肠癌手术和化疗史,且皮下植入了中心静脉港导管。胃肠道穿孔手术后,他发生了腹腔脓肿,经广谱抗菌药物治疗后病情改善。改善后,血培养和导管尖端均检测到罗伦隐球菌。尽管有真菌血症,但他无症状。导管拔除和抗真菌药物治疗后,他的病情改善。罗伦隐球菌引起的真菌血症较为罕见,无症状性真菌血症更为罕见。