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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
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pubmed:dateCreated |
1997-12-30
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pubmed:abstractText |
Phialophora is a dematiaceous fungus isolated from soil and wood. Human infections including chromoblastomycosis, mycotic keratitis, cutaneous infections, and prosthetic valve endocarditis have been reported. We report a case of fatal hemorrhage due to Phialophora verrucosa in a patient with prolonged neutropenia undergoing autologous bone marrow transplant (BMT) for acute myelogenous leukemia (AML). Bacterial infections complicated induction and consolidation chemotherapies. Liposomal amphotericin B (LAMB) was given from day +33 to day +72 for febrile neutropenia. Death occurred on day +74 due to tracheal hemorrhage. Autopsy revealed granulation tissue on the posterior wall of the trachea with fungal hyphae on histopathology; the tissue grew Phialophora verrucosa. In vitro susceptibility studies revealed a minimum inhibitory concentration to AmB of 0.1 microg/ml. This represents the first reported case of invasive P. verrucosa in a BMT patient leading to fatal hemorrhage, despite large cumulative doses of LAMB to which the organism remained susceptible.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Amphotericin B,
http://linkedlifedata.com/resource/pubmed/chemical/Antifungal Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Antiprotozoal Agents,
http://linkedlifedata.com/resource/pubmed/chemical/Liposomes,
http://linkedlifedata.com/resource/pubmed/chemical/liposomal amphotericin B
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pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0268-3369
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
20
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
789-91
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pubmed:dateRevised |
2009-11-19
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pubmed:meshHeading |
pubmed-meshheading:9384484-Adult,
pubmed-meshheading:9384484-Amphotericin B,
pubmed-meshheading:9384484-Antifungal Agents,
pubmed-meshheading:9384484-Antiprotozoal Agents,
pubmed-meshheading:9384484-Bone Marrow Transplantation,
pubmed-meshheading:9384484-Female,
pubmed-meshheading:9384484-Hemorrhage,
pubmed-meshheading:9384484-Humans,
pubmed-meshheading:9384484-Leukemia, Myeloid, Acute,
pubmed-meshheading:9384484-Liposomes,
pubmed-meshheading:9384484-Mycoses,
pubmed-meshheading:9384484-Neutropenia,
pubmed-meshheading:9384484-Phialophora,
pubmed-meshheading:9384484-Trachea
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pubmed:year |
1997
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pubmed:articleTitle |
Phialophora verrucosa infection in a BMT patient.
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pubmed:affiliation |
Detroit Medical Center, Wayne State University, MI 48201, USA.
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pubmed:publicationType |
Journal Article,
Case Reports
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