Published in:
Open Access
01-12-2022 | Amphotericin B | Case report
Gut-derived fungemia due to Kodamaea ohmeri combined with invasive pulmonary aspergillosis: a case report
Authors:
Zi-Mu Li, Yu-Kun Kuang, Yi-Fan Zheng, Pei-Hang Xu, Ji-Yu Wang, Run-Jing Gan, Hui-Xia Li, Li-Hong Bai, Can-Mao Xie, Ke-Jing Tang
Published in:
BMC Infectious Diseases
|
Issue 1/2022
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Abstract
Background
Kodamaea ohmeri is a rare pathogen with high mortality and is found among blood samples in a considerable proportion; however, gastrointestinal infection of K. ohmeri is extremely rare. Invasive pulmonary aspergillosis is also an uncommon fungal; these two fungal infections reported concomitantly are unprecedented.
Case presentation
We described a case of a 37-year-old male who got infected with K. ohmeri and invasive pulmonary aspergillosis. We used the mass spectrometry and histopathology to identify these two fungal infections separately. For the treatment of K. ohmeri, we chose caspofungin. As for invasive pulmonary aspergillosis, we used voriconazole, amphotericin B, and then surgery. The patient was treated successfully through the collaboration of multiple disciplines.
Conclusions
We speculate that the destruction of the intestinal mucosa barrier can make the intestine one of the ways for certain fungi to infect the human body.