2018
Proven Invasive Pulmonary Aspergillosis in Stem Cell Transplant Recipient Due to Aspergillus sublatus, a Cryptic Species of A-nidulans
CHRENKOVA, Vanda, Vit HUBKA, Petr CETKOVSKY, Michal KOUBA, Barbora WEINBERGEROVÁ et. al.Základní údaje
Originální název
Proven Invasive Pulmonary Aspergillosis in Stem Cell Transplant Recipient Due to Aspergillus sublatus, a Cryptic Species of A-nidulans
Autoři
CHRENKOVA, Vanda (203 Česká republika, garant), Vit HUBKA (203 Česká republika), Petr CETKOVSKY (203 Česká republika), Michal KOUBA (203 Česká republika), Barbora WEINBERGEROVÁ (203 Česká republika, domácí), Pavlina LYSKOVA (203 Česká republika), Ludmila HORNOFOVA (203 Česká republika) a Petr HUBACEK (203 Česká republika)
Vydání
MYCOPATHOLOGIA, DORDRECHT, SPRINGER, 2018, 0301-486X
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
10612 Mycology
Stát vydavatele
Nizozemské království
Utajení
není předmětem státního či obchodního tajemství
Impakt faktor
Impact factor: 2.278
Kód RIV
RIV/00216224:14110/18:00102670
Organizační jednotka
Lékařská fakulta
UT WoS
000427090500012
Klíčová slova anglicky
Aspergillus quadrilineatus; Haematopoietic stem cell transplant; Invasive aspergillosis; Aspergillus section Nidulantes
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 10. 2. 2019 18:21, Soňa Böhmová
Anotace
V originále
Invasive fungal disease represents one of the severe complications in haematopoietic stem cell transplant recipients. We describe a case of a patient treated for relapse of chronic lymphoblastic leukaemia 6 years after HSCT. The patient was treated for invasive pulmonary aspergillosis but died 3 months later from multiple organ failures consisting of haemorrhagic necrotizing fungal pneumonia, refractory chronic hepatic graft versus host disease and cytomegalovirus hepatitis. Autopsy samples revealed histopathological evidence of fungal hyphae and an unusual Aspergillus nidulans-like species was isolated in pure culture. More precise identification was achieved by using scanning electron microscopy of ascospores and sequencing of calmodulin gene, and the isolate was subsequently re-identified as A. sublatus (section Nidulantes) and showed good in vitro susceptibility against all classes of antifungals. Commonly used ITS rDNA region and beta-tubulin gene fail to discriminate A. sublatus from related pathogenic species, especially A. quadrilineatus and A. nidulans. Although this is the first case of proven IPA attributed to A. sublatus, we demonstrated that at least some previously reported infections due to A. quadrilineatus were probably caused by this cryptic species.