Invasive pulmonary infection caused by Chrysosporium articulatum: the first case report

Chusana Suankratay1, Onwalee Dhissayakamol, Noppacharn Uaprasert

  • 1Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.

Mycoses
|November 5, 2014
PubMed

Insights

This study details the first invasive pulmonary infection caused by Chrysosporium articulatum in a young leukemia patient. The successful treatment with voriconazole offers hope for similar rare fungal infections.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Hematology

Background:

  • Chrysosporium species are saprobic soil fungi with over 60 known species.
  • Taxonomic confusion exists between Chrysosporium and Emmonsia, particularly regarding adiaspiromycosis.
  • Chrysosporium articulatum was not previously known to cause invasive human infections.

Observation:

  • A 16-year-old male with acute T-cell lymphoblastic leukemia presented with an invasive pulmonary infection.
  • The infection was caused by Chrysosporium articulatum, a species previously unreported in human invasive disease.

Findings:

  • This case represents the first documented instance of invasive pulmonary infection by Chrysosporium articulatum.
  • The patient received successful treatment with the antifungal medication voriconazole.

Implications:

  • This finding expands the known spectrum of Chrysosporium articulatum pathogenicity.
  • Highlights the importance of accurate fungal identification in immunocompromised patients.
  • Voriconazole demonstrates efficacy in treating rare invasive fungal infections caused by Chrysosporium species.

Related Concept Videos

Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
17
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
1.4K
Atypical Pneumonia01:14

Atypical Pneumonia

Atypical pneumonia, often caused by Mycoplasma pneumoniae, is a form of pulmonary infection that differs from the classical presentation of bacterial pneumonia in both its cause and clinical symptoms. Mycoplasma pneumoniae is a pleomorphic bacterium notable for its lack of a rigid cell wall. This structural characteristic imparts resistance to beta-lactam antibiotics and significantly influences the bacterium’s behavior within the human host.Other pathogens responsible for the disease...
73
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...
770
Bacterial Phylum Chlamydiae01:29

Bacterial Phylum Chlamydiae

The phylum Chlamydiae or Chlamydiota is composed of a single order, Chlamydiales. This phylum consists entirely of obligate intracellular parasites that infect eukaryotic hosts. While human pathogens within this group have been studied extensively, the phylum encompasses many species capable of interacting with various eukaryotic organisms. Members of Chlamydiae are typically small cocci, approximately 0.5 μm in diameter, and exhibit a distinctive developmental cycle. As is characteristic...
826
Fungal Phylum Ascomycota01:28

Fungal Phylum Ascomycota

Phylum Ascomycota, a major division within the subkingdom Dikarya, comprises a diverse range of fungal species, including both unicellular yeasts and filamentous molds such as Aspergillus and Penicillium. These fungi thrive in a variety of habitats, from aquatic ecosystems to terrestrial environments, playing crucial ecological and economic roles.Morphology and ReproductionThe defining characteristic of Ascomycetes, commonly referred to as sac fungi, is the ascus—a sac-like structure that...
2.4K