Endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient: A case report

Fusarium species manifests as an opportunistic infection with intrinsic resistance to most antifungals. We present a case of a 63-year-old male with myelodysplasia who received allogeneic stem cell transplantation and presented with endophthalmitis as the initial manifestation of invasive fusariosis...

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Main Authors: Andrew S. Kao, Cassondra Cramer-Bour, William Kupsky, Ayman O. Soubani
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:Medical Mycology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2211753923000064
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author Andrew S. Kao
Cassondra Cramer-Bour
William Kupsky
Ayman O. Soubani
author_facet Andrew S. Kao
Cassondra Cramer-Bour
William Kupsky
Ayman O. Soubani
author_sort Andrew S. Kao
collection DOAJ
description Fusarium species manifests as an opportunistic infection with intrinsic resistance to most antifungals. We present a case of a 63-year-old male with myelodysplasia who received allogeneic stem cell transplantation and presented with endophthalmitis as the initial manifestation of invasive fusariosis that progressed to a fatal outcome despite combined intravitreal and systemic antifungal therapies. We urge clinicians to consider this complication of fusarium infection especially with the widespread use of antifungal prophylaxis that may incur selection of more resistant, invasive fungal species.
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spelling doaj.art-d8df3a50559d4943875b11a8eb9818df2023-05-28T04:08:52ZengElsevierMedical Mycology Case Reports2211-75392023-06-014057Endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient: A case reportAndrew S. Kao0Cassondra Cramer-Bour1William Kupsky2Ayman O. Soubani3Wayne State University School of Medicine, 540 E. Canfield St, Detroit, 48201, United StatesDetroit Medical Center, Department of Pulmonary and Critical Care Medicine, 3990 John R- 3 Hudson, Detroit, MI, 48201, United StatesDetroit Medical Center, Department of Pathology, 4201 St Antoine, Detroit, MI, 48201, United StatesDetroit Medical Center, Department of Pulmonary and Critical Care Medicine, 3990 John R- 3 Hudson, Detroit, MI, 48201, United States; Corresponding author.Fusarium species manifests as an opportunistic infection with intrinsic resistance to most antifungals. We present a case of a 63-year-old male with myelodysplasia who received allogeneic stem cell transplantation and presented with endophthalmitis as the initial manifestation of invasive fusariosis that progressed to a fatal outcome despite combined intravitreal and systemic antifungal therapies. We urge clinicians to consider this complication of fusarium infection especially with the widespread use of antifungal prophylaxis that may incur selection of more resistant, invasive fungal species.http://www.sciencedirect.com/science/article/pii/S2211753923000064Transplant medicineOpportunistic infectionAntifungal resistance
spellingShingle Andrew S. Kao
Cassondra Cramer-Bour
William Kupsky
Ayman O. Soubani
Endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient: A case report
Medical Mycology Case Reports
Transplant medicine
Opportunistic infection
Antifungal resistance
title Endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient: A case report
title_full Endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient: A case report
title_fullStr Endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient: A case report
title_full_unstemmed Endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient: A case report
title_short Endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient: A case report
title_sort endophthalmitis as the initial manifestation of invasive fusariosis in an allogeneic stem cell transplant patient a case report
topic Transplant medicine
Opportunistic infection
Antifungal resistance
url http://www.sciencedirect.com/science/article/pii/S2211753923000064
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