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Multisystemic fusariosis with fulminant evolution
Nelson Turra1, Agustina Acosta2, Andrea Incoronato3
1Department of Dermatology, Dr. Manuel Quintela Clinical Hospital, Montevideo, Uruguay.
Abstract:
This report presents the case of a 13-year-old female patient with history of acute myeloid leukemia, who, after a bone marrow transplant, began to vomit and experienced rapidly progressive deterioration of consciousness, in addition to disseminated erythematous-violaceous macules, and some blisters with hemorrhagic content inside. Skin biopsy evidenced intravascular filamentous structures. A blood culture confirmed the presence of Fusarium oxysporum. Intravenous treatment with voriconazole was initiated. The patient evolved unfavorably with multiple necrotic skin lesions, ischemic brain lesions, and death.
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