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[Triple fungal infection in a patient with liver cirrhosis]
Kazali Alidjinou1, Daniel Mathieu, Jean Frédéric Colombel
1Laboratoire de parasitologie-mycologie, Institut de microbiologie, Centre de biologie pathologie, CHRU de Lille.
Abstract:
The prevalence of invasive mycoses is increasing, especially among patients who are immunocompromised or hospitalized with serious underlying diseases. Such infections are associated with a high morbidity and significant mortality, requiring early diagnosis and appropriate treatment but also an optimal prophylaxis in patients with high risk factors. We report a case of triple fungal infection including an invasive pulmonary aspergillosis by Aspergillus fumigatus, a candidemia by Candida albicans and a Pneumocystis pneumonia. The overall clinical picture of this patient was liver cirrhosis with medical history of immunosuppressive treatment for Crohn disease and a non-hodgkin lymphoma. There was no antifungal prophylaxis for this patient. Under treatment, the issue was unfavourable with multivisceral failure.
Insights
This case report highlights a rare triple fungal infection in an immunocompromised patient with liver cirrhosis. The aggressive infection led to multivisceral failure despite treatment, emphasizing the need for antifungal prophylaxis in high-risk individuals.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Clinical Case Study
Background:
- Invasive fungal infections (IFIs) are increasing, particularly in immunocompromised and critically ill patients.
- IFIs are linked to high morbidity and mortality, necessitating prompt diagnosis, treatment, and prophylaxis.
- Patients with conditions like liver cirrhosis, Crohn disease, and non-Hodgkin lymphoma are at elevated risk.
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