| LIPOVÝ, Břetislav, Filip RAŠKA, Iva KOCMANOVA, Marketa HANSLIANOVA, Martin HLADÍK, Jakub HOLOUBEK, Matěj BEZDÍČEK and Ctirad MACHÁČEK. Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation. Journal of Fungi. BASEL: MDPI, 2021, vol. 7, No 6, p. 1-10. ISSN 2309-608X. Available from: https://dx.doi.org/10.3390/jof7060487. |
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@article{1782960,
author = {Lipový, Břetislav and Raška, Filip and Kocmanova, Iva and Hanslianova, Marketa and Hladík, Martin and Holoubek, Jakub and Bezdíček, Matěj and Macháček, Ctirad},
article_location = {BASEL},
article_number = {6},
doi = {http://dx.doi.org/10.3390/jof7060487},
keywords = {dermal substitute; infection; Trichoderma; Aspergillus; critical burns; liver transplantation; immunosuppression},
language = {eng},
issn = {2309-608X},
journal = {Journal of Fungi},
title = {Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation},
url = {https://www.mdpi.com/2309-608X/7/6/487},
volume = {7},
year = {2021}
}
TY - JOUR
ID - 1782960
AU - Lipový, Břetislav - Raška, Filip - Kocmanova, Iva - Hanslianova, Marketa - Hladík, Martin - Holoubek, Jakub - Bezdíček, Matěj - Macháček, Ctirad
PY - 2021
TI - Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation
JF - Journal of Fungi
VL - 7
IS - 6
SP - 1-10
EP - 1-10
PB - MDPI
SN - 2309608X
KW - dermal substitute
KW - infection
KW - Trichoderma
KW - Aspergillus
KW - critical burns
KW - liver transplantation
KW - immunosuppression
UR - https://www.mdpi.com/2309-608X/7/6/487
N2 - Infectious complications are responsible for the majority of mortalities and morbidities of patients with critical burns. Although bacteria are the predominant etiological agents in such patients, yeasts and fungi have become relatively common causes of infections over the last decade. Here, we report a case of a young man with critical burns on 88% TBSA (total body surface area) arising as a part of polytrauma. The patient's history of orthotopic liver transplantation associated with the patient's need to use combined immunosuppressant therapy was an additional complication. Due to deep burns in the forearm region, we have (after a suitable wound bed preparation) applied a new bi-layered dermal substitute. The patient, however, developed a combined fungal infection in the region of this dermal substitute caused by Trichoderma longibrachiatum and Aspergillus fischeri (the first case ever reported). The infection caused the loss of the split-thickness skin grafts (STSGs); we had to perform repeated hydrosurgical and mechanical debridement and a systemic antifungal treatment prior to re-application of the STSGs. The subsequent skin transplant was successful.
ER -
LIPOVÝ, Břetislav, Filip RAŠKA, Iva KOCMANOVA, Marketa HANSLIANOVA, Martin HLADÍK, Jakub HOLOUBEK, Matěj BEZDÍČEK and Ctirad MACHÁČEK. Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation. \textit{Journal of Fungi}. BASEL: MDPI, 2021, vol.~7, No~6, p.~1-10. ISSN~2309-608X. Available from: https://dx.doi.org/10.3390/jof7060487.
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