CHRENKOVA, Vanda, Vit HUBKA, Petr CETKOVSKY, Michal KOUBA, Barbora WEINBERGEROVÁ, Pavlina LYSKOVA, Ludmila HORNOFOVA and Petr HUBACEK. Proven Invasive Pulmonary Aspergillosis in Stem Cell Transplant Recipient Due to Aspergillus sublatus, a Cryptic Species of A-nidulans. Online. MYCOPATHOLOGIA. DORDRECHT: SPRINGER, 2018, vol. 183, No 2, p. 423-429. ISSN 0301-486X. Available from: https://dx.doi.org/10.1007/s11046-017-0223-8. [citováno 2024-04-23]
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Basic information
Original name Proven Invasive Pulmonary Aspergillosis in Stem Cell Transplant Recipient Due to Aspergillus sublatus, a Cryptic Species of A-nidulans
Authors CHRENKOVA, Vanda (203 Czech Republic, guarantor), Vit HUBKA (203 Czech Republic), Petr CETKOVSKY (203 Czech Republic), Michal KOUBA (203 Czech Republic), Barbora WEINBERGEROVÁ (203 Czech Republic, belonging to the institution), Pavlina LYSKOVA (203 Czech Republic), Ludmila HORNOFOVA (203 Czech Republic) and Petr HUBACEK (203 Czech Republic)
Edition MYCOPATHOLOGIA, DORDRECHT, SPRINGER, 2018, 0301-486X.
Other information
Original language English
Type of outcome Article in a journal
Field of Study 10612 Mycology
Country of publisher Netherlands
Confidentiality degree is not subject to a state or trade secret
Impact factor Impact factor: 2.278
RIV identification code RIV/00216224:14110/18:00102670
Organization unit Faculty of Medicine
Doi http://dx.doi.org/10.1007/s11046-017-0223-8
UT WoS 000427090500012
Keywords in English Aspergillus quadrilineatus; Haematopoietic stem cell transplant; Invasive aspergillosis; Aspergillus section Nidulantes
Tags 14110212, EL OK, rivok
Tags International impact, Reviewed
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 10/2/2019 18:21.
Abstract
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.
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