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KMID : 0882420090770040527
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Korean Journal of Medicine
2009 Volume.77 No. 4 p.527 ~ p.530
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A Korean cancer patient with Trichosporon pullulans fungemia
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Seo Ki-Woo
Chung Jin-Won
Cho Sun-Young
Park Borae-G
Lee Mi-Kyung
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Abstract
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Trichosporon pullulans has recently been recognized as a human pathogen. Given its rarity, however, few reports describe infection attributable to this fungal pathogen. In immunocompromised hosts, T. pullulans infection is associated with significant mortality. For the first time in Korea, we report a case of T. pullulans infection in a non?neutropenic patient. A 70?year?old woman was diagnosed with metastatic colon cancer. She did not undergo chemotherapy and received only supportive care and intravenous nutrition via the subclavian vein. Sixteen days after admission, a fever developed. Three sets of blood culture and a catheter tip culture were carried out and T. pullulans grew in all cultures. Although she was treated with amphotericin B deoxycholate and catheter removal, she died on hospital day 40 due to persistent fungemia.
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KEYWORD
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Trichosporon, Immunocompromised host, Fungemia
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