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Cutaneous Emboli of Invasive Basidiomycosis in a Child With Aplastic Anemia.

Abstract Invasive fungal diseases are a significant cause of mortality among the immunocompromised. This report documents an unusual case of disseminated fungal infection in a child with severe aplastic anemia. The offending fungus, a Basidiomycete, is rarely known to cause human infections. The patient presented acutely with multiple purpuric skin lesions in various parts of the body. The skin biopsy revealed septated fungal hyphae embolized within small dermal blood vessels. Molecular sequencing indicated Earliella scabrosa as the likely organism. The clinical course of the infection was inexorable despite systemic antifungal treatment, resulting in mortality. The literature of human infections due to Basidiomycetes, the usefulness of histopathology in the early diagnosis of the infection, and possible treatment options are discussed.
PMID
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Authors

Mayor MeshTerms

Immunocompromised Host

Keywords
Journal Title the american journal of dermatopathology
Publication Year Start




PMID- 28221210
OWN - NLM
STAT- MEDLINE
DA  - 20170221
DCOM- 20170314
LR  - 20170314
IS  - 1533-0311 (Electronic)
IS  - 0193-1091 (Linking)
VI  - 39
IP  - 3
DP  - 2017 Mar
TI  - Cutaneous Emboli of Invasive Basidiomycosis in a Child With Aplastic Anemia.
PG  - 204-207
LID - 10.1097/DAD.0000000000000699 [doi]
AB  - Invasive fungal diseases are a significant cause of mortality among the
      immunocompromised. This report documents an unusual case of disseminated fungal
      infection in a child with severe aplastic anemia. The offending fungus, a
      Basidiomycete, is rarely known to cause human infections. The patient presented
      acutely with multiple purpuric skin lesions in various parts of the body. The
      skin biopsy revealed septated fungal hyphae embolized within small dermal blood
      vessels. Molecular sequencing indicated Earliella scabrosa as the likely
      organism. The clinical course of the infection was inexorable despite systemic
      antifungal treatment, resulting in mortality. The literature of human infections 
      due to Basidiomycetes, the usefulness of histopathology in the early diagnosis of
      the infection, and possible treatment options are discussed.
FAU - Lim, Desmond Shi-Wei
AU  - Lim DS
AD  - *Yong Loo Lin School of Medicine, National University of Singapore, Singapore;
      daggerDivision of Paediatric Haematology and Oncology, Khoo Teck Puat-National
      University Children's Institute, National University Health System, Singapore;
      double daggerDivision of Microbiology, Department of Laboratory Medicine,
      National University Health System, Singapore; and section signDepartment of
      Pathology, Yong Loo Lin School of Medicine, National University Health System,
      National University of Singapore, Singapore.
FAU - Tan, Poh-Lin
AU  - Tan PL
FAU - Jureen, Roland
AU  - Jureen R
FAU - Tan, Kong-Bing
AU  - Tan KB
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Am J Dermatopathol
JT  - The American Journal of dermatopathology
JID - 7911005
SB  - IM
MH  - Anemia, Aplastic/*complications
MH  - Dermatomycoses/*immunology/microbiology
MH  - Embolism/microbiology
MH  - Fatal Outcome
MH  - Humans
MH  - *Immunocompromised Host
MH  - Infant
MH  - Male
MH  - Opportunistic Infections/*immunology
MH  - Polyporaceae
EDAT- 2017/02/22 06:00
MHDA- 2017/03/16 06:00
CRDT- 2017/02/22 06:00
AID - 10.1097/DAD.0000000000000699 [doi]
AID - 00000372-201703000-00010 [pii]
PST - ppublish
SO  - Am J Dermatopathol. 2017 Mar;39(3):204-207. doi: 10.1097/DAD.0000000000000699.

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