RT Book, Section
A1 Rose, Stacey R.
A1 Hamill, Richard J.
A2 Papadakis, Maxine A.
A2 McPhee, Stephen J.
A2 Rabow, Michael W.
A2 McQuaid, Kenneth R.
SR Print(0)
ID 1193137559
T1 Other Opportunistic Mold Infections
T2 Current Medical Diagnosis & Treatment 2023
YR 2023
FD 2023
PB McGraw-Hill Education
PP New York, NY
SN 9781264687343
LK accessmedicine.mhmedical.com/content.aspx?aid=1193137559
RD 2024/04/18
AB Fungi  previously  considered  to  be  harmless  colonizers,  including  Pseudallescheria  boydii  (Scedosporium  apiospermum),  Scedosporium  prolificans,  Fusarium,  Paecilomyces,  Trichoderma  longibrachiatium,  and  Trichosporon,  are  now  significant  pathogens  in  immunocompromised  patients.  Opportunistic  infections  with  these  agents  are  seen  in  patients  being  treated  for  hematologic  malignancies,  in  hematopoietic  stem  cell  or  organ  transplant  recipients,  and  in  those  receiving  broad-spectrum  antifungal  prophylaxis.  Infection  may  be  localized  in  the  skin,  lungs,  or  sinuses,  or  widespread  disease  may  appear  with  lesions  in  multiple  organs.  Fusariosis  should  be  suspected  in  severely  immunosuppressed  persons  in  whom  multiple,  painful  skin  lesions  develop;  blood  cultures  are  often  positive.  Sinus  infection  may  cause  bony  erosion.  Infection  in  subcutaneous  tissues  following  traumatic  inoculation  may  develop  as  a  well-circumscribed  cyst  or  as  an  ulcer.