Invasive Trichosporon infection in solid organ transplant patients: a report of two cases identified using IGS1 ribosomal DNA sequencing and a review of the literature
Trichosporon species are rare etiologic agents of invasive fungal infection in solid organ transplant (SOT) recipients. We report 2 well‐documented cases of Trichosporon inkin invasive infection in SOT patients. We also conducted a detailed literature review of Trichosporon species infections in thi...
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| Veröffentlicht in: | Transplant infectious disease 2014-02, Vol.16 (1), p.135-140 |
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| creator | Almeida Júnior, J.N. Song, A.T.W. Campos, S.V. Strabelli, T.M.V. Del Negro, G.M. Figueiredo, D.S.Y. Motta, A.L. Rossi, F. Guitard, J. Benard, G. Hennequin, C. |
| description | Trichosporon species are rare etiologic agents of invasive fungal infection in solid organ transplant (SOT) recipients. We report 2 well‐documented cases of Trichosporon inkin invasive infection in SOT patients. We also conducted a detailed literature review of Trichosporon species infections in this susceptible population. We gathered a total of 13 cases of Trichosporon species infections. Any type of organ transplantation can be complicated by Trichosporon infection. Bloodstream infections and disseminated infections were the most common clinical presentations. Liver recipients with bloodstream or disseminated infections had poor prognoses. Although the most common species was formerly called Trichosporon beigelii, this species name should no longer be used because of the changes in the taxonomy of this genus resulting from the advent of molecular approaches, which were also used to identify the strains isolated from our patients. Antifungal susceptibility testing highlights the possibility of multidrug resistance. Indeed, Trichosporon has to be considered in cases of breakthrough infection or treatment failure under echinocandins or amphotericin therapy. Voriconazole seems to be the best treatment option. |
| doi_str_mv | 10.1111/tid.12179 |
| format | Article |
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We report 2 well‐documented cases of Trichosporon inkin invasive infection in SOT patients. We also conducted a detailed literature review of Trichosporon species infections in this susceptible population. We gathered a total of 13 cases of Trichosporon species infections. Any type of organ transplantation can be complicated by Trichosporon infection. Bloodstream infections and disseminated infections were the most common clinical presentations. Liver recipients with bloodstream or disseminated infections had poor prognoses. Although the most common species was formerly called Trichosporon beigelii, this species name should no longer be used because of the changes in the taxonomy of this genus resulting from the advent of molecular approaches, which were also used to identify the strains isolated from our patients. Antifungal susceptibility testing highlights the possibility of multidrug resistance. Indeed, Trichosporon has to be considered in cases of breakthrough infection or treatment failure under echinocandins or amphotericin therapy. Voriconazole seems to be the best treatment option.</description><identifier>ISSN: 1398-2273</identifier><identifier>EISSN: 1399-3062</identifier><identifier>DOI: 10.1111/tid.12179</identifier><identifier>PMID: 24383613</identifier><language>eng</language><publisher>Denmark: Wiley Subscription Services, Inc</publisher><subject>Adult ; Antifungal Agents - therapeutic use ; antifungal susceptibility ; Deoxyribonucleic acid ; DNA ; DNA, Fungal - analysis ; DNA, Intergenic - analysis ; DNA, Ribosomal - analysis ; Drug Resistance, Fungal ; Empyema - diagnosis ; Empyema - drug therapy ; Empyema - immunology ; Fungi ; Graft Rejection - prevention & control ; Heart Transplantation ; Humans ; Immunocompromised Host ; Immunosuppressive Agents - therapeutic use ; Infections ; invasive infection ; Life Sciences ; Lung Diseases, Fungal - diagnosis ; Lung Diseases, Fungal - drug therapy ; Lung Diseases, Fungal - immunology ; Lung Transplantation ; Male ; Mediastinitis - diagnosis ; Mediastinitis - drug therapy ; Mediastinitis - immunology ; Microbial Sensitivity Tests ; Pericarditis - diagnosis ; Pericarditis - drug therapy ; Pericarditis - immunology ; Pleural Effusion - diagnosis ; Pleural Effusion - drug therapy ; Pleural Effusion - immunology ; Pyrimidines - therapeutic use ; Sequence Analysis, DNA ; solid organ transplant ; Transplants & implants ; treatment ; Triazoles - therapeutic use ; Trichosporon ; Trichosporon - genetics ; Trichosporonosis - diagnosis ; Trichosporonosis - drug therapy ; Trichosporonosis - immunology ; Voriconazole ; Young Adult</subject><ispartof>Transplant infectious disease, 2014-02, Vol.16 (1), p.135-140</ispartof><rights>2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd</rights><rights>2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.</rights><rights>2014 Wiley Periodicals, Inc</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><orcidid>0000-0002-9782-3577</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Ftid.12179$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Ftid.12179$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,776,780,881,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24383613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.sorbonne-universite.fr/hal-03962328$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Almeida Júnior, J.N.</creatorcontrib><creatorcontrib>Song, A.T.W.</creatorcontrib><creatorcontrib>Campos, S.V.</creatorcontrib><creatorcontrib>Strabelli, T.M.V.</creatorcontrib><creatorcontrib>Del Negro, G.M.</creatorcontrib><creatorcontrib>Figueiredo, D.S.Y.</creatorcontrib><creatorcontrib>Motta, A.L.</creatorcontrib><creatorcontrib>Rossi, F.</creatorcontrib><creatorcontrib>Guitard, J.</creatorcontrib><creatorcontrib>Benard, G.</creatorcontrib><creatorcontrib>Hennequin, C.</creatorcontrib><title>Invasive Trichosporon infection in solid organ transplant patients: a report of two cases identified using IGS1 ribosomal DNA sequencing and a review of the literature</title><title>Transplant infectious disease</title><addtitle>Transpl Infect Dis</addtitle><description>Trichosporon species are rare etiologic agents of invasive fungal infection in solid organ transplant (SOT) recipients. We report 2 well‐documented cases of Trichosporon inkin invasive infection in SOT patients. We also conducted a detailed literature review of Trichosporon species infections in this susceptible population. We gathered a total of 13 cases of Trichosporon species infections. Any type of organ transplantation can be complicated by Trichosporon infection. Bloodstream infections and disseminated infections were the most common clinical presentations. Liver recipients with bloodstream or disseminated infections had poor prognoses. Although the most common species was formerly called Trichosporon beigelii, this species name should no longer be used because of the changes in the taxonomy of this genus resulting from the advent of molecular approaches, which were also used to identify the strains isolated from our patients. Antifungal susceptibility testing highlights the possibility of multidrug resistance. Indeed, Trichosporon has to be considered in cases of breakthrough infection or treatment failure under echinocandins or amphotericin therapy. Voriconazole seems to be the best treatment option.</description><subject>Adult</subject><subject>Antifungal Agents - therapeutic use</subject><subject>antifungal susceptibility</subject><subject>Deoxyribonucleic acid</subject><subject>DNA</subject><subject>DNA, Fungal - analysis</subject><subject>DNA, Intergenic - analysis</subject><subject>DNA, Ribosomal - analysis</subject><subject>Drug Resistance, Fungal</subject><subject>Empyema - diagnosis</subject><subject>Empyema - drug therapy</subject><subject>Empyema - immunology</subject><subject>Fungi</subject><subject>Graft Rejection - prevention & control</subject><subject>Heart Transplantation</subject><subject>Humans</subject><subject>Immunocompromised Host</subject><subject>Immunosuppressive Agents - therapeutic use</subject><subject>Infections</subject><subject>invasive infection</subject><subject>Life Sciences</subject><subject>Lung Diseases, Fungal - diagnosis</subject><subject>Lung Diseases, Fungal - drug therapy</subject><subject>Lung Diseases, Fungal - immunology</subject><subject>Lung Transplantation</subject><subject>Male</subject><subject>Mediastinitis - diagnosis</subject><subject>Mediastinitis - drug therapy</subject><subject>Mediastinitis - immunology</subject><subject>Microbial Sensitivity Tests</subject><subject>Pericarditis - diagnosis</subject><subject>Pericarditis - drug therapy</subject><subject>Pericarditis - immunology</subject><subject>Pleural Effusion - diagnosis</subject><subject>Pleural Effusion - drug therapy</subject><subject>Pleural Effusion - immunology</subject><subject>Pyrimidines - therapeutic use</subject><subject>Sequence Analysis, DNA</subject><subject>solid organ transplant</subject><subject>Transplants & implants</subject><subject>treatment</subject><subject>Triazoles - therapeutic use</subject><subject>Trichosporon</subject><subject>Trichosporon - genetics</subject><subject>Trichosporonosis - diagnosis</subject><subject>Trichosporonosis - drug therapy</subject><subject>Trichosporonosis - immunology</subject><subject>Voriconazole</subject><subject>Young Adult</subject><issn>1398-2273</issn><issn>1399-3062</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdks9u3CAQxlHVqknTHPoCFVIv7cEJf4wNva2SNFlp1R66OSNsj7NEXnAB7ypP1NcM601zKBdGMz--YeBD6BMlFzSvy2S7C8pord6gU8qVKjip2Ns5lgVjNT9BH2J8JCQjpXqPTljJJa8oP0V_l25not0BXgfbbnwcffAOW9dDm-wc4egH22EfHozDKRgXx8G4hEeTLLgUv2ODA-RzCfsep73HrYkQse1y1fYWOjxF6x7w8vY3xcE2PvqtGfD1zwWO8GcC1x6qxnWz0M7CfhbaAB5sgmDSFOAjetebIcL5y36G7n_crK_uitWv2-XVYlVseJ62aJrKVIb1nPeEt0LxhspW1tCqsleiolAKwuumpmVPGFDW1HUpjFKSEkU7KfkZ-nbU3ZhBj8FuTXjS3lh9t1jpQ45wVTHO5I5m9uuRHYPPY8Sktza2MOTXAT9FTQXNdxKSiYx--Q999FNweRJNS1XzqhTi0PzzCzU1W-he-__7rgxcHoG9HeDptU6JPvhAZx_o2Qd6vbyeA_4MVQSk7g</recordid><startdate>201402</startdate><enddate>201402</enddate><creator>Almeida Júnior, J.N.</creator><creator>Song, A.T.W.</creator><creator>Campos, S.V.</creator><creator>Strabelli, T.M.V.</creator><creator>Del Negro, G.M.</creator><creator>Figueiredo, D.S.Y.</creator><creator>Motta, A.L.</creator><creator>Rossi, F.</creator><creator>Guitard, J.</creator><creator>Benard, G.</creator><creator>Hennequin, C.</creator><general>Wiley Subscription Services, Inc</general><general>Wiley</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QO</scope><scope>7U9</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>P64</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-9782-3577</orcidid></search><sort><creationdate>201402</creationdate><title>Invasive Trichosporon infection in solid organ transplant patients: a report of two cases identified using IGS1 ribosomal DNA sequencing and a review of the literature</title><author>Almeida Júnior, J.N. ; Song, A.T.W. ; Campos, S.V. ; Strabelli, T.M.V. ; Del Negro, G.M. ; Figueiredo, D.S.Y. ; Motta, A.L. ; Rossi, F. ; Guitard, J. ; Benard, G. ; Hennequin, C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h3139-bb6a6a2f33f03c593b18c87ec94f9561e45037b714f02e12b7745a9981091d883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Antifungal Agents - therapeutic use</topic><topic>antifungal susceptibility</topic><topic>Deoxyribonucleic acid</topic><topic>DNA</topic><topic>DNA, Fungal - analysis</topic><topic>DNA, Intergenic - analysis</topic><topic>DNA, Ribosomal - analysis</topic><topic>Drug Resistance, Fungal</topic><topic>Empyema - diagnosis</topic><topic>Empyema - drug therapy</topic><topic>Empyema - immunology</topic><topic>Fungi</topic><topic>Graft Rejection - prevention & control</topic><topic>Heart Transplantation</topic><topic>Humans</topic><topic>Immunocompromised Host</topic><topic>Immunosuppressive Agents - therapeutic use</topic><topic>Infections</topic><topic>invasive infection</topic><topic>Life Sciences</topic><topic>Lung Diseases, Fungal - diagnosis</topic><topic>Lung Diseases, Fungal - drug therapy</topic><topic>Lung Diseases, Fungal - immunology</topic><topic>Lung Transplantation</topic><topic>Male</topic><topic>Mediastinitis - diagnosis</topic><topic>Mediastinitis - drug therapy</topic><topic>Mediastinitis - immunology</topic><topic>Microbial Sensitivity Tests</topic><topic>Pericarditis - diagnosis</topic><topic>Pericarditis - drug therapy</topic><topic>Pericarditis - immunology</topic><topic>Pleural Effusion - diagnosis</topic><topic>Pleural Effusion - drug therapy</topic><topic>Pleural Effusion - immunology</topic><topic>Pyrimidines - therapeutic use</topic><topic>Sequence Analysis, DNA</topic><topic>solid organ transplant</topic><topic>Transplants & implants</topic><topic>treatment</topic><topic>Triazoles - therapeutic use</topic><topic>Trichosporon</topic><topic>Trichosporon - genetics</topic><topic>Trichosporonosis - diagnosis</topic><topic>Trichosporonosis - drug therapy</topic><topic>Trichosporonosis - immunology</topic><topic>Voriconazole</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Almeida Júnior, J.N.</creatorcontrib><creatorcontrib>Song, A.T.W.</creatorcontrib><creatorcontrib>Campos, S.V.</creatorcontrib><creatorcontrib>Strabelli, T.M.V.</creatorcontrib><creatorcontrib>Del Negro, G.M.</creatorcontrib><creatorcontrib>Figueiredo, D.S.Y.</creatorcontrib><creatorcontrib>Motta, A.L.</creatorcontrib><creatorcontrib>Rossi, F.</creatorcontrib><creatorcontrib>Guitard, J.</creatorcontrib><creatorcontrib>Benard, G.</creatorcontrib><creatorcontrib>Hennequin, C.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Biotechnology Research Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Transplant infectious disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Almeida Júnior, J.N.</au><au>Song, A.T.W.</au><au>Campos, S.V.</au><au>Strabelli, T.M.V.</au><au>Del Negro, G.M.</au><au>Figueiredo, D.S.Y.</au><au>Motta, A.L.</au><au>Rossi, F.</au><au>Guitard, J.</au><au>Benard, G.</au><au>Hennequin, C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Invasive Trichosporon infection in solid organ transplant patients: a report of two cases identified using IGS1 ribosomal DNA sequencing and a review of the literature</atitle><jtitle>Transplant infectious disease</jtitle><addtitle>Transpl Infect Dis</addtitle><date>2014-02</date><risdate>2014</risdate><volume>16</volume><issue>1</issue><spage>135</spage><epage>140</epage><pages>135-140</pages><issn>1398-2273</issn><eissn>1399-3062</eissn><abstract>Trichosporon species are rare etiologic agents of invasive fungal infection in solid organ transplant (SOT) recipients. We report 2 well‐documented cases of Trichosporon inkin invasive infection in SOT patients. We also conducted a detailed literature review of Trichosporon species infections in this susceptible population. We gathered a total of 13 cases of Trichosporon species infections. Any type of organ transplantation can be complicated by Trichosporon infection. Bloodstream infections and disseminated infections were the most common clinical presentations. Liver recipients with bloodstream or disseminated infections had poor prognoses. Although the most common species was formerly called Trichosporon beigelii, this species name should no longer be used because of the changes in the taxonomy of this genus resulting from the advent of molecular approaches, which were also used to identify the strains isolated from our patients. Antifungal susceptibility testing highlights the possibility of multidrug resistance. Indeed, Trichosporon has to be considered in cases of breakthrough infection or treatment failure under echinocandins or amphotericin therapy. Voriconazole seems to be the best treatment option.</abstract><cop>Denmark</cop><pub>Wiley Subscription Services, Inc</pub><pmid>24383613</pmid><doi>10.1111/tid.12179</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-9782-3577</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Antifungal Agents - therapeutic use antifungal susceptibility Deoxyribonucleic acid DNA DNA, Fungal - analysis DNA, Intergenic - analysis DNA, Ribosomal - analysis Drug Resistance, Fungal Empyema - diagnosis Empyema - drug therapy Empyema - immunology Fungi Graft Rejection - prevention & control Heart Transplantation Humans Immunocompromised Host Immunosuppressive Agents - therapeutic use Infections invasive infection Life Sciences Lung Diseases, Fungal - diagnosis Lung Diseases, Fungal - drug therapy Lung Diseases, Fungal - immunology Lung Transplantation Male Mediastinitis - diagnosis Mediastinitis - drug therapy Mediastinitis - immunology Microbial Sensitivity Tests Pericarditis - diagnosis Pericarditis - drug therapy Pericarditis - immunology Pleural Effusion - diagnosis Pleural Effusion - drug therapy Pleural Effusion - immunology Pyrimidines - therapeutic use Sequence Analysis, DNA solid organ transplant Transplants & implants treatment Triazoles - therapeutic use Trichosporon Trichosporon - genetics Trichosporonosis - diagnosis Trichosporonosis - drug therapy Trichosporonosis - immunology Voriconazole Young Adult |
| title | Invasive Trichosporon infection in solid organ transplant patients: a report of two cases identified using IGS1 ribosomal DNA sequencing and a review of the literature |
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