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First reported case of Cladosporium para-aortic abscess

Racha Ibrahim1, Zeina Bou Chebel1, Rindala Saliba2

  • 1Hotel-Dieu de France, St Joseph University, Infectious Disease Department, Beirut, Lebanon.

Idcases
|February 11, 2022
PubMed

Insights

Cladosporium fungi can cause serious infections, even in healthy individuals, following surgery. Prompt identification of contamination sources in operating rooms is crucial to prevent fatal outcomes.

Area of Science:

  • Mycology
  • Infectious Diseases
  • Surgical Pathology

Background:

  • Cladosporium species are common fungi found indoors and outdoors.
  • They are known causes of phaeohyphomycosis, particularly in immunocompromised individuals.
  • Infections typically occur via spore inhalation, leading to abscesses.

Observation:

  • A rare case of para-aortic abscess with thrombus formation is presented.
  • The abscess was caused by Cladosporium species.
  • The patient was immunocompetent and had undergone valvular replacement surgery.

Findings:

  • This is the first reported case of Cladosporium-induced para-aortic abscess post-cardiac surgery.
  • Direct inoculation during surgery is a potential route of infection.
  • The source of contamination in the operating room was suspected.

Implications:

  • Highlights the risk of Cladosporium infections in immunocompetent patients after surgery.
  • Emphasizes the need for rapid identification of intraoperative contamination sources.
  • Underscores the potential for fatal infections if contamination is not controlled.
Keywords:
CladosporiumContaminationFungalPara-aortic abscessSurgery

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