ChloroquineV1, Main, Exploration, bibRecord, 000478

Recurrent fever of unknown fungal infection in a low-risk patient

Identifieur interne : 000478 ( Main/Exploration ); précédent : 000477; suivant : 000479

Recurrent fever of unknown fungal infection in a low-risk patient

Auteurs : Tang-Meng Guo [République populaire de Chine] ; Yu Ye ; Li-Li Huang [République populaire de Chine] ; Bei Cheng [République populaire de Chine]

Source :

Medicine [ 0025-7974 ] ; 2019.

RBID : PMC:6831448

Abstract

AbstractRationale:

Fungal infectious disease does not usually occur in low-risk patients. Clinicians tend to ignore the role of fungi in the fevers of low-risk patients. If there is not timely control of fungal infections and associated fever, the disease will continue to worsen, resulting in physical dysfunction or death.

Patient concerns:

Recurrent fever continued for 1 month in a young adult.

Diagnoses and interventions:

Non-albicans Candida (NAC) species probably was the main pathogen in this case based on the resolution of fever after capsofungin administration.

Outcomes:

The fever and the associated indicators, including white blood cell count, C-reaction protein, erythrocyte sedimentation rate, and BDG levels, showed improvement quickly. The patient left the hospital successfully after 18 days of caspofungin treatment. There was no recurrent fever at a follow-up of 1 year.

Lessons:

Clinicians should be aware that the incidence of fungal infection is increasing in low-risk patients. The BDG assay is still an effective tool used to diagnose invasive fungal diseases. Caspofungin is an effective drug for the treatment of some unknown fungal infections.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6831448

DOI: 10.1097/MD.0000000000016908
PubMed: 31415438
PubMed Central: 6831448

Affiliations:

Le document en format XML

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<author><name sortKey="Guo, Tang Meng" sort="Guo, Tang Meng" uniqKey="Guo T" first="Tang-Meng" last="Guo">Tang-Meng Guo</name>
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<front><div type="abstract" xml:lang="en"><title>Abstract</title>
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<p>Fungal infectious disease does not usually occur in low-risk patients. Clinicians tend to ignore the role of fungi in the fevers of low-risk patients. If there is not timely control of fungal infections and associated fever, the disease will continue to worsen, resulting in physical dysfunction or death.</p>
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<p>Recurrent fever continued for 1 month in a young adult.</p>
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<p>Non-albicans Candida (NAC) species probably was the main pathogen in this case based on the resolution of fever after capsofungin administration.</p>
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<p>The fever and the associated indicators, including white blood cell count, C-reaction protein, erythrocyte sedimentation rate, and BDG levels, showed improvement quickly. The patient left the hospital successfully after 18 days of caspofungin treatment. There was no recurrent fever at a follow-up of 1 year.</p>
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<p>Clinicians should be aware that the incidence of fungal infection is increasing in low-risk patients. The BDG assay is still an effective tool used to diagnose invasive fungal diseases. Caspofungin is an effective drug for the treatment of some unknown fungal infections.</p>
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Recurrent fever of unknown fungal infection in a low-risk patient

Recurrent fever of unknown fungal infection in a low-risk patient

Source :

Abstract

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