Evaluation of Mucorales DNA load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin B

We report the case of a 19-year-old male with possible cerebral mucormycosis following chemotherapy. We detected a Lichtheimia DNA load of 2.0 × 104 copies/ml in cerebrospinal fluid (CSF), although a CSF culture showed no growth. After treatment with intravenous liposomal amphotericin B, the Lichthe...

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Main Authors: Tomonari Shigemura, Yozo Nakazawa, Kazuyuki Matsuda, Mitsuo Motobayashi, Shoji Saito, Kenichi Koike
Format: Article
Language:English
Published: Elsevier 2014-12-01
Series:International Journal of Infectious Diseases
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1201971214016750
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author Tomonari Shigemura
Yozo Nakazawa
Kazuyuki Matsuda
Mitsuo Motobayashi
Shoji Saito
Kenichi Koike
author_facet Tomonari Shigemura
Yozo Nakazawa
Kazuyuki Matsuda
Mitsuo Motobayashi
Shoji Saito
Kenichi Koike
author_sort Tomonari Shigemura
collection DOAJ
description We report the case of a 19-year-old male with possible cerebral mucormycosis following chemotherapy. We detected a Lichtheimia DNA load of 2.0 × 104 copies/ml in cerebrospinal fluid (CSF), although a CSF culture showed no growth. After treatment with intravenous liposomal amphotericin B, the Lichtheimia DNA load fell below the detection limit, and at the same time the patient's headache and imaging findings improved. The quantification of Mucorales DNA in CSF may be useful for evaluating cerebral mucormycosis.
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spelling doaj.art-2fd061cef3f14b42ad31936df8456fad2022-12-21T19:11:44ZengElsevierInternational Journal of Infectious Diseases1201-97121878-35112014-12-0129C20020210.1016/j.ijid.2014.10.019Evaluation of Mucorales DNA load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin BTomonari Shigemura0Yozo Nakazawa1Kazuyuki Matsuda2Mitsuo Motobayashi3Shoji Saito4Kenichi Koike5Department of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, JapanDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, JapanDepartment of Laboratory Medicine, Shinshu University Hospital, Matsumoto, JapanDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, JapanDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, JapanDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto 390-8621, JapanWe report the case of a 19-year-old male with possible cerebral mucormycosis following chemotherapy. We detected a Lichtheimia DNA load of 2.0 × 104 copies/ml in cerebrospinal fluid (CSF), although a CSF culture showed no growth. After treatment with intravenous liposomal amphotericin B, the Lichtheimia DNA load fell below the detection limit, and at the same time the patient's headache and imaging findings improved. The quantification of Mucorales DNA in CSF may be useful for evaluating cerebral mucormycosis.http://www.sciencedirect.com/science/article/pii/S1201971214016750MucormycosisLichtheimiaCerebrospinal fluidQuantitative PCRLiposomal amphotericin B
spellingShingle Tomonari Shigemura
Yozo Nakazawa
Kazuyuki Matsuda
Mitsuo Motobayashi
Shoji Saito
Kenichi Koike
Evaluation of Mucorales DNA load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin B
International Journal of Infectious Diseases
Mucormycosis
Lichtheimia
Cerebrospinal fluid
Quantitative PCR
Liposomal amphotericin B
title Evaluation of Mucorales DNA load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin B
title_full Evaluation of Mucorales DNA load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin B
title_fullStr Evaluation of Mucorales DNA load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin B
title_full_unstemmed Evaluation of Mucorales DNA load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin B
title_short Evaluation of Mucorales DNA load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin B
title_sort evaluation of mucorales dna load in cerebrospinal fluid in a patient with possible cerebral mucormycosis treated with intravenous liposomal amphotericin b
topic Mucormycosis
Lichtheimia
Cerebrospinal fluid
Quantitative PCR
Liposomal amphotericin B
url http://www.sciencedirect.com/science/article/pii/S1201971214016750
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