[Disseminated Trichosporon asahii infection]

Aurélie Servonnet1, Marie Bourgault, François Trueba

  • 1Ecole du Val de Grâce, Paris. a_servonnet@yahoo.fr

Insights

Disseminated Trichosporon asahii infection is a serious opportunistic yeast infection in immunocompromised individuals. Echinocandins are ineffective, necessitating accurate yeast species identification for appropriate antifungal treatment.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Clinical Microbiology

Background:

  • Trichosporon species are emerging opportunistic pathogens, particularly affecting immunocompromised patients.
  • These yeasts are known for their intrinsic resistance to echinocandin antifungal agents.
  • Accurate identification of Trichosporon species is crucial for effective treatment strategies.

Observation:

  • This report details a case of disseminated Trichosporon asahii infection.
  • The study highlights the challenges in managing trichosporonosis due to antifungal resistance.

Findings:

  • Trichosporon asahii infections present a significant clinical challenge in immunocompromised hosts.
  • Echinocandins are not recommended for treating trichosporonosis, as demonstrated by resistance patterns.
  • Species-level identification of Trichosporon is essential for guiding antifungal therapy.

Implications:

  • Clinicians must consider Trichosporon species identification for all clinical yeast isolates from immunocompromised patients.
  • Antifungal treatment choices should be guided by specific Trichosporon species susceptibility profiles.
  • This case underscores the need for awareness and tailored therapeutic approaches for invasive trichosporonosis.

Related Concept Videos

Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Cryptococcal Meningitis01:27

Cryptococcal Meningitis

Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...
American Trypanosomiasis01:22

American Trypanosomiasis

Chagas disease, or American trypanosomiasis, is a vector-borne parasitic infection caused by Trypanosoma cruzi, a flagellated protozoan (kinetoplastid) of the family Trypanosomatidae. The disease is endemic in Latin America, although cases are increasingly reported worldwide due to human migration. Transmission most commonly occurs when feces of infected triatomine bugs contaminate bite wounds or mucosal surfaces; additional routes include congenital, transfusional, transplant-related, and oral...
Fungal Phylum Microsporidia01:28

Fungal Phylum Microsporidia

Microsporidia are a group of obligate intracellular fungi that were initially classified as protists but were later reclassified based on phylogenetic, molecular, and structural evidence linking them to the Chytridiomycota. These unicellular, non-motile organisms are highly specialized parasites that infect a wide range of animal hosts, including humans. They have evolved extensive genomic and metabolic reductions, making them highly dependent on their hosts for survival.Morphology and Genomic...
Trichomoniasis01:18

Trichomoniasis

Trichomonas vaginalis is a flagellated protozoan parasite and the causative agent of trichomoniasis, one of the most prevalent non-viral sexually transmitted infections in the United States. This extracellular parasite primarily colonizes the lower genitourinary tract in women—particularly the vagina—and in men, the urethra and prostate. Its structural and functional adaptations enable its survival, motility, and pathogenicity within the host environment.Structural Features and Host EntryT.
Candidiasis01:20

Candidiasis

Candidiasis is a fungal infection caused by opportunistic species of Candida. It can affect various anatomical sites, including the skin, oral cavity, nails, and genitourinary tract. Among its forms, vaginal candidiasis is the most common type of mucosal infection. It typically results from the overgrowth of Candida albicans in the vaginal mucosa. Under normal conditions, C. albicans exists as a commensal organism within the vaginal microbiota, regulated by the dominance of lactobacilli, which...