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[Invasive Fusariosis: Report of Three Cases in Peru]
Julio Maquera-Afaray1,2, Giancarlo Pérez-Lazo3, Rómulo Rodriguez3
1Instituto Nacional de Salud del Niño San Borja. Lima, Perú.
Abstract:
Fusarium species are a group of fungi that cause superficial infections, locally invasive and disseminated disease, which occur mainly in immunocompromised hosts, and occasionally in immunocompetent individuals. We present three cases that show three different clinical forms of Fusarium spp. disease that affected different types of patients (patients with hematological malignancy, chronic kidney disease in peritoneal dialysis and post-surgical for osteoarticular pathology), each with its own characteristics that merit discussion. These cases show different clinical forms of invasive fusariosis caused by Fusarium solani complex species in patients with different pathologies and therapeutic management that could be risk factors for the development of the disease. The clinical recognition of fusariosis, not only in oncohematological patients, together with a timely diagnosis and treatment contribute to the success of the treatment and a reduction in mortality.
Insights
Fusarium fungi cause infections in immunocompromised and sometimes healthy individuals. Early recognition and treatment of invasive fusariosis are crucial for better patient outcomes.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Clinical Case Studies
Background:
- Fusarium species are opportunistic fungi causing superficial, invasive, and disseminated infections.
- Infections primarily affect immunocompromised hosts but can occur in immunocompetent individuals.
- Invasive fusariosis presents diverse clinical manifestations.
Observation:
- Three distinct cases of Fusarium spp. infection are presented.
- Patients included those with hematological malignancy, chronic kidney disease on peritoneal dialysis, and post-surgical osteoarticular pathology.
- Each case exhibited unique characteristics and clinical presentations.
Findings:
- The cases illustrate varied clinical forms of invasive fusariosis caused by Fusarium solani complex.
- Different patient pathologies and therapeutic management strategies were identified as potential risk factors.
- The study highlights the importance of recognizing fusariosis beyond oncohematological patients.
Implications:
- Timely diagnosis and appropriate treatment are critical for successful management of invasive fusariosis.
- Clinical recognition of fusariosis in diverse patient populations can improve outcomes.
- Reducing mortality associated with invasive fungal infections requires comprehensive diagnostic and therapeutic approaches.
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