Disseminated Geotrichum capitatum infection in a patient with acute myeloid leukemia

Mycoses. 1989 Nov;32(11):573-7. doi: 10.1111/j.1439-0507.1989.tb02184.x.

Abstract

A case of invasive Geotrichum capitatum infection is reported; a young patient had an acute leukemia for which he received a chemotherapy, and presented sepsis with blood cultures for Geotrichum capitatum, namely Dipodascus spicifer; this pathogen only described in cactus rot, is responsible for the first case of a human disseminated infection reported in literature. Then he developed a splenic and epididymic infection, with positive cultures for Geotrichum capitatum after splenectomy and castration. Treatment with amphotericin B and itraconazole was started with low minimal inhibitory concentration (0.1 microgram/ml). The patient died of massive hemoptisis. Autopsy findings demonstrated a lung, brain and kidneys seeding.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Geotrichosis / etiology*
  • Humans
  • Immune Tolerance
  • Leukemia, Myeloid, Acute / complications*
  • Male
  • Mycoses / etiology*