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Colonizer or Culprit? Repeated Isolation of Trichosporon asahii in an Immunocompromised Patient with UTI – Diagnostic Challenges in Distinguishing Colonization from Infection: A Case Report
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Colonizer or Culprit? Repeated Isolation of Trichosporon asahii in an Immunocompromised Patient with UTI – Diagnostic Challenges in Distinguishing Colonization from Infection: A Case Report
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Colonizer or Culprit? Repeated Isolation of Trichosporon asahii in an Immunocompromised Patient with UTI – Diagnostic Challenges in Distinguishing Colonization from Infection: A Case Report
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Journal Article
Colonizer or Culprit? Repeated Isolation of Trichosporon asahii in an Immunocompromised Patient with UTI – Diagnostic Challenges in Distinguishing Colonization from Infection: A Case Report
2026
Overview
Trichosporon asahii, an emerging opportunistic pathogen in immunocompromised, catheterized patients, rarely causes urinary tract infections (UTI), accounting for only 0.2% of fungal UTIs. We report a catheter-associated- UTI in a 77-year-old male with diabetes and stage IV chronic-kidney-disease who developed fever and pyuria on day eight of hospitalization. Urine culture isolated T. asahii resistant to fluconazole, amphotericin B, and echinocandins but susceptible to voriconazole, with clinical improvement, highlighting diagnostic challenges in distinguishing colonization from true infection.
Publisher
JK Science, Journal of Medical Education & Research,Dr. Annil Mahajan
Subject
