Suspected Pulmonary Infection with Trichoderma longibrachiatum after Allogeneic Stem Cell Transplantation

Intern Med. 2017;56(2):215-219. doi: 10.2169/internalmedicine.56.5316. Epub 2017 Jan 15.

Abstract

Aspergillus and Candida species are the main causative agents of invasive fungal infections in immunocompromised human hosts. However, saprophytic fungi are now increasingly being recognized as serious pathogens. Trichoderma longibrachiatum has recently been described as an emerging pathogen in immunocompromised patients. We herein report a case of isolated suspected invasive pulmonary infection with T. longibrachiatum in a 29-year-old man with severe aplastic anemia who underwent allogeneic stem cell transplantation. A direct microscopic examination of sputum, bronchoaspiration, and bronchoalveolar lavage fluid samples revealed the presence of fungal septate hyphae. The infection was successfully treated with 1 mg/kg/day liposomal amphotericin B.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / administration & dosage
  • Amphotericin B / therapeutic use
  • Anemia, Aplastic / therapy
  • Antifungal Agents / administration & dosage
  • Antifungal Agents / therapeutic use
  • Diagnosis, Differential
  • Hematopoietic Stem Cell Transplantation*
  • Humans
  • Immunocompromised Host
  • Lung Diseases, Fungal / diagnosis*
  • Lung Diseases, Fungal / drug therapy
  • Lung Diseases, Fungal / microbiology
  • Male
  • Opportunistic Infections / diagnosis*
  • Opportunistic Infections / drug therapy
  • Opportunistic Infections / microbiology
  • Trichoderma / isolation & purification*

Substances

  • Antifungal Agents
  • liposomal amphotericin B
  • Amphotericin B