异常威克汉姆酵母血症:一例报告及文献综述
Fungemia With Wickerhamomyces anomalus: A Case Report and Literature Review.
作者信息
Sakai Yui, Taniguchi Toshibumi, Herai Yoriko, Yahaba Misuzu, Watanabe Akira, Kamei Katsuhiko, Igari Hidetoshi
机构信息
Infectious Diseases, Chiba University School of Medicine, Chiba, JPN.
Infectious Diseases, Chiba University Hospital, Chiba, JPN.
出版信息
Cureus. 2024 Feb 4;16(2):e53550. doi: 10.7759/cureus.53550. eCollection 2024 Feb.
We report the case of an 84-year-old man with a history of IgG4-related sclerosing cholangitis who was diagnosed with advanced esophageal cancer and underwent radiation and chemotherapy. An implantable central venous access port was placed for chemotherapy and total parenteral nutrition. The patient presented with a fever and received antimicrobial therapy for acute cholangitis but remained febrile, and subsequently, yeast was detected in the aerobic bottle of blood culture obtained from the central venous line. The yeast was identified as . Liposomal amphotericin B was administered, and the central line access port was removed. After confirmation of negative blood cultures and 14 days post treatment, he underwent reinsertion of the central line access port. Due to persistent pain at the insertion site, fluconazole was added for an additional 14 days, and the patient was discharged and transferred to another hospital. is a rare fungal infection with other synonyms including , , and . A literature review of 53 case reports of , , , and was conducted, with a total of 211 cases reviewed. Fungemia was reported in 94% of cases, with central venous catheterization, parental feeding, low birth weight, and immunocompromised status identified as major risk factors. The majority of cases were pediatric, particularly neonatal, and there were reports of nosocomial infections causing outbreaks, with some cases involving the eye such as endophthalmitis or keratitis.
我们报告了一例84岁男性患者,他有IgG4相关性硬化性胆管炎病史,被诊断为晚期食管癌并接受了放疗和化疗。为进行化疗和全胃肠外营养放置了植入式中心静脉通路端口。患者出现发热,因急性胆管炎接受了抗菌治疗,但仍持续发热,随后从中心静脉导管采集的血培养需氧瓶中检测到酵母。该酵母被鉴定为 。给予脂质体两性霉素B治疗,并移除了中心静脉通路端口。在血培养结果为阴性且治疗后14天,他接受了中心静脉通路端口的重新插入。由于插入部位持续疼痛,加用氟康唑治疗14天,之后患者出院并转至另一家医院。 是一种罕见的真菌感染,还有其他同义词,包括 、 和 。我们对53篇关于 、 、 和 的病例报告进行了文献综述,共回顾了211例病例。94%的病例报告了真菌血症,中心静脉置管、肠外营养、低出生体重和免疫功能低下状态被确定为主要危险因素。大多数病例为儿科患者,尤其是新生儿,有医院感染导致暴发的报告,一些病例累及眼部,如眼内炎或角膜炎。