Central venous catheter infection by Aspergillus fumigatus in a patient with B-type non-Hodgkin lymphoma

Med Pediatr Oncol. 1996 Sep;27(3):202-4. doi: 10.1002/(SICI)1096-911X(199609)27:3<202::AID-MPO13>3.0.CO;2-H.

Abstract

Invasive Aspergillus infection is still a major problem in immunocompromised patients. A central venous catheter infection by Aspergillus fumigatus, however, has not yet been reported. We describe the case of a 10-year-old female patient with B-type non-Hodgkin lymphoma treated according to the German chemotherapy protocol NHL-BFM 90. Isolation of Aspergillus fumigatus from the blood was the first hint of invasive aspergillosis. A central venous catheter-associated infection was suggested, since Aspergillus was also isolated from the thrombotic tip of the removed catheter. Secondary pulmonary aspergillosis was documented radiologically. The patient was treated successfully by Ampho-thericin B and Itraconazol and explantation of the central venous catheter under conditions of complete hematopoietic regeneration of the bone marrow with omission of the final chemotherapeutic cycle.

Publication types

  • Case Reports

MeSH terms

  • Antineoplastic Combined Chemotherapy Protocols / administration & dosage
  • Aspergillosis / diagnosis
  • Aspergillosis / diagnostic imaging
  • Aspergillosis / etiology*
  • Aspergillus fumigatus*
  • Burkitt Lymphoma / drug therapy*
  • Catheterization, Central Venous / adverse effects*
  • Catheters, Indwelling
  • Child
  • Female
  • Fungemia / diagnosis
  • Humans
  • Lung Diseases, Fungal / diagnostic imaging
  • Lung Diseases, Fungal / etiology
  • Radiography