Disseminated fusarium infection after allogeneic hematopoietic stem cell transplantation after CART: A case report

Medicine (Baltimore). 2022 Nov 11;101(45):e31594. doi: 10.1097/MD.0000000000031594.

Abstract

Background: Fusarium is a conditional pathogen that can cause invasive infection in patients with hematological diseases under immune function.

Methods: A case of recurrent and refractory Philadelphia chromosome-positive acute lymphoblastic leukemia was treated with allogeneic hematopoietic stem cell transplantation after chimeric antigen receptor-modified T cells treatment.

Results: During transplantation, disseminated Fusarium infection occurred, involving the skin, liver, spleen and central nervous system, and the patient eventually died.

Conclusions: Early identification of Fusarium infection based on the characteristic rash and timely antifungal treatment can improve the cure rate.

Publication types

  • Case Reports

MeSH terms

  • Fusariosis* / drug therapy
  • Fusariosis* / etiology
  • Fusarium*
  • Hematopoietic Stem Cell Transplantation* / adverse effects
  • Humans
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma* / therapy
  • Transplantation, Homologous / adverse effects