An Important Finding of Systemic Aspergillosis: Skin Involvement and Amphotericin B Resistance in an Adolescent

Invasive aspergillosis is a life-threatening infectious complication in immunocompromised patients, especially with malignancy, and in some cases, it causes extensive tissue destruction and subsequent systemic illness, leading to multiorgan failure and death. Skin involvement and amphotericin B resi...

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Main Authors: Aslinur Ozkaya-Parlakay, Buse Ozer-Bekmez, Ates Kara, Baris Kuskonmaz, Zuhal Akcoren, Sevtap Arikan-Dagli, Berna Oguz
Format: Article
Language:English
Published: Elsevier 2016-08-01
Series:Pediatrics and Neonatology
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Online Access:http://www.sciencedirect.com/science/article/pii/S1875957213001897
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author Aslinur Ozkaya-Parlakay
Buse Ozer-Bekmez
Ates Kara
Baris Kuskonmaz
Zuhal Akcoren
Sevtap Arikan-Dagli
Berna Oguz
author_facet Aslinur Ozkaya-Parlakay
Buse Ozer-Bekmez
Ates Kara
Baris Kuskonmaz
Zuhal Akcoren
Sevtap Arikan-Dagli
Berna Oguz
author_sort Aslinur Ozkaya-Parlakay
collection DOAJ
description Invasive aspergillosis is a life-threatening infectious complication in immunocompromised patients, especially with malignancy, and in some cases, it causes extensive tissue destruction and subsequent systemic illness, leading to multiorgan failure and death. Skin involvement and amphotericin B resistance are very rare findings of aspergillosis. Herein, we report the case of a primary hemophagocytic syndrome patient who developed subcutaneous nodules in the 3rd month of bone marrow transplantation from which Aspergillus fumigatus was cultivated despite the fact that she was under antifungal therapy. In immunocompromised patients with prolonged fever, atypical presentations of invasive mycosis should be kept in mind, and early appropriate therapy should be initiated promptly to decrease morbidity and mortality.
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series Pediatrics and Neonatology
spelling doaj-art-68e8fba97ae84c708d593e43a8a0b01a2025-08-20T03:18:19ZengElsevierPediatrics and Neonatology1875-95722016-08-0157434334610.1016/j.pedneo.2013.09.010An Important Finding of Systemic Aspergillosis: Skin Involvement and Amphotericin B Resistance in an AdolescentAslinur Ozkaya-Parlakay0Buse Ozer-Bekmez1Ates Kara2Baris Kuskonmaz3Zuhal Akcoren4Sevtap Arikan-Dagli5Berna Oguz6Hacettepe University Medical Faculty, Pediatric Infectious Disease Department, Ankara, TurkeyHacettepe University Medical Faculty, Pediatrics Department, Ankara, TurkeyHacettepe University Medical Faculty, Pediatric Infectious Disease Department, Ankara, TurkeyHacettepe University Medical Faculty, Pediatric Hematology Department, Ankara, TurkeyHacettepe University Medical Faculty, Pediatric Pathology Department, Ankara, TurkeyHacettepe University Medical Faculty, Mycology Department, Ankara, TurkeyHacettepe University Medical Faculty, Radiology Department, Ankara, TurkeyInvasive aspergillosis is a life-threatening infectious complication in immunocompromised patients, especially with malignancy, and in some cases, it causes extensive tissue destruction and subsequent systemic illness, leading to multiorgan failure and death. Skin involvement and amphotericin B resistance are very rare findings of aspergillosis. Herein, we report the case of a primary hemophagocytic syndrome patient who developed subcutaneous nodules in the 3rd month of bone marrow transplantation from which Aspergillus fumigatus was cultivated despite the fact that she was under antifungal therapy. In immunocompromised patients with prolonged fever, atypical presentations of invasive mycosis should be kept in mind, and early appropriate therapy should be initiated promptly to decrease morbidity and mortality.http://www.sciencedirect.com/science/article/pii/S1875957213001897Aspergillus fumigatuschildprimary hemophagocytic syndromeskin
spellingShingle Aslinur Ozkaya-Parlakay
Buse Ozer-Bekmez
Ates Kara
Baris Kuskonmaz
Zuhal Akcoren
Sevtap Arikan-Dagli
Berna Oguz
An Important Finding of Systemic Aspergillosis: Skin Involvement and Amphotericin B Resistance in an Adolescent
Pediatrics and Neonatology
Aspergillus fumigatus
child
primary hemophagocytic syndrome
skin
title An Important Finding of Systemic Aspergillosis: Skin Involvement and Amphotericin B Resistance in an Adolescent
title_full An Important Finding of Systemic Aspergillosis: Skin Involvement and Amphotericin B Resistance in an Adolescent
title_fullStr An Important Finding of Systemic Aspergillosis: Skin Involvement and Amphotericin B Resistance in an Adolescent
title_full_unstemmed An Important Finding of Systemic Aspergillosis: Skin Involvement and Amphotericin B Resistance in an Adolescent
title_short An Important Finding of Systemic Aspergillosis: Skin Involvement and Amphotericin B Resistance in an Adolescent
title_sort important finding of systemic aspergillosis skin involvement and amphotericin b resistance in an adolescent
topic Aspergillus fumigatus
child
primary hemophagocytic syndrome
skin
url http://www.sciencedirect.com/science/article/pii/S1875957213001897
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