Fungal Bloodstream Co-infection by Trichosporon asahii in a COVID-19 Critical Patient: Case Report and Literature Review

Link: https://link.springer.com/article/10.1007/s11046-022-00637-6

Autores: BENELLI, JÉSSICA LOUISE; BASSO, ROSSANA PATRÍCIA; GRAFULHA, TALITA WERNER; POESTER, VANICE RODRIGUES; MUNHOZ, LÍVIA SILVEIRA; MARTINS, KATHERYNE BENINE; ZOGBI, HERUZA EINSFELD; VON GROLL, ANDREA; SEVERO, CECÍLIA BITTENCOURT; STEVENS, DAVID A.; XAVIER, MELISSA ORZECHOWSKI. 

Periódico: Mycopathologia

Resumo: Opportunistic infections are serious complications in critically ill COVID-19 patients, especially co-infections with bacterial and fungal agents. Here we report a rare case of bloodstream co-infection by Trichosporon asahii, an emerging yeast, and Acinetobacterbaumannii, an opportunistic nosocomial pathogen, both multidrug resistant, in a tertiary hospital from southern Brazil. A review of the literature regarding similar cases is also included. Treatment with multiple antimicrobials failed, and the patient progressed to death four days after the diagnosis of bacteremia and fungemia.

Palavras-chave: Trichosporon spp.; Emerging pathogens; Opportunistic disease; Fungemia; COVID-19 co-infections; Multi-drug resistance; Sepsis