FATAL FUSARIUM INFECTION IN IMMUNOCOMPROMISED CHILD

  • Flávia Estrela Maroja Marinho Interna do Internato Complementar de Dermatologia /Resident, Dermatology, Hospital Federal da Lagoa, Rio de Janeiro, Brasil
  • Pedro Etienne Arreguy Rodrigues Silva Interno do Internato Complementar de Dermatologia /Resident, Dermatology, Hospital Federal da Lagoa, Rio de Janeiro, Brasil
  • João Carlos Regazzi Avelleira Especialista em Dermatologia pela Sociedade Brasileira de Dermatologia; Chefe do Serviço de Dermatologia/ Consultant Chief of Dermatology, Hospital Federal da Lagoa, Rio de Janeiro, Brasil
  • Priscila Castro Teixeira de Mattos Sillero Especialista em Pediatria pela Sociedade Brasileira de Pediatria, Especialista em Infectologia Pediátrica/ Specialist in Pediatrics and Pediatric Infectious Diseases; Chefe do Centro de Tratamento Intensivo Pediátrico/Head of the Pediatric Intensive Care Centre, Hospital Federal da Lagoa, Rio de Janeiro, Brasil
  • Soraia Taveira Rouxinol Especialista em Pediatria pela Sociedade Brasileira de Pediatria, Especialista em Hematologia Pediátrica, membro da Associação Brasileira de Hematologia e Hemoterapia/ Specialist in Pediatrics and Pediatric Hematology, Chefe do Serviço de Oncohematologia Pediátrica/Head of the Pediatric Oncohematology Department, Hospital Federal da Lagoa, Rio de Janeiro, Brasil

Abstract

Fungal infections represent an important complication for immunosupressed patients and are associated with high morbidity and mortality. Fusarium infections have been reported with increasing frequency and can be locali- zed, locally invasive or disseminated, depending on the immune status of the host. The authors report the case of a four year old boy, with acute lymphocytic leukemia, in chemotherapy, who presented multiple erythematous nodules that evolved into bullae and central necrosis. Cultures of bullae fluid grew Fusarium spp. Despite treatment with intravenous lipid formulation of amphotericin B and voriconazole, the child died 10 days after appearance of skin lesions.

KEYWORDS – Fusarium; Fusariosis; Immunocompromised Host; Leukemia, Lymphoid.

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How to Cite
Marinho, F. E. M., Silva, P. E. A. R., Avelleira, J. C. R., Sillero, P. C. T. de M., & Rouxinol, S. T. (1). FATAL FUSARIUM INFECTION IN IMMUNOCOMPROMISED CHILD. Journal of the Portuguese Society of Dermatology and Venereology, 70(2), 227. https://doi.org/10.29021/spdv.70.2.31
Section
Case Reports