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A case of Schizophyllum commune sinusitis following unrelated cord blood transplantation for acute lymphoblastic leukemia
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A case of Schizophyllum commune sinusitis following unrelated cord blood transplantation for acute lymphoblastic leukemia
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Journal Article
A case of Schizophyllum commune sinusitis following unrelated cord blood transplantation for acute lymphoblastic leukemia
2013
Overview
Schizophyllum commune
is a globally distributed basidiomycete fungus that is known as a rare cause of sinusitis, for which no prompt treatment has been established. We describe the first report of
S. commune
sinusitis following unrelated cord blood transplantation for acute lymphoblastic leukemia. Thirteen days after transplantation, a 23-year-old female developed maxillary and ethmoid sinusitis. The sinusitis was antimicrobial-resistant, and the sinus aspirate culture revealed white wooly mold, which was identified as
S. commune
by nucleotide sequencing. The patient was successfully treated with intravenous administration of liposomal amphotericin B for 2 months, followed by oral voriconazole. This report suggests the effectiveness of liposomal amphotericin B and voriconazole for
S. commune
infection in immunocompromised patients. Given the difficulty in distinguishing
S. commune
infection from aspergillosis by standard culture methods, the incidence of
S. commune
infection following allogeneic hematopoietic stem cell transplantation may be underestimated. Nucleotide sequencing may be useful in the diagnosis of
S. commune
infection.
Publisher
Springer Japan,Springer,Springer Nature B.V
Subject
/ Amphotericin B - administration & dosage
/ Antifungal Agents - administration & dosage
/ Biological and medical sciences
/ Cord Blood Stem Cell Transplantation
/ Ethmoid Sinusitis - diagnosis
/ Ethmoid Sinusitis - drug therapy
/ Ethmoid Sinusitis - etiology
/ Female
/ Hematologic and hematopoietic diseases
/ Humans
/ Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis
/ Maxillary Sinusitis - diagnosis
/ Maxillary Sinusitis - drug therapy
/ Maxillary Sinusitis - etiology
/ Medicine
/ Oncology
