Disseminated zygomycosis due to Rhizopus schipperae after heatstroke

Gregory M. Anstead, Deanna A. Sutton, Elizabeth H. Thompson, Irene Weitzman, Randal A. Otto, Sunil K. Ahuja

Producción científica: Articlerevisión exhaustiva

17 Citas (Scopus)

Resumen

A 21-year-old woman suffered heatstroke and developed diarrhea while trekking across south Texas. The heatstroke was complicated by seizures, rhabdomyolysis, pneumonia, renal failure, and disseminated intravascular coagulation. The patient's stool and blood cultures grew Campylobacter jejuni. The patient subsequently developed paranasal and gastrointestinal zygomycosis and required surgical debridement and a prolonged course of amphotericin B. The zygomycete cultured was Rhizopus schipperae. This is only the second isolate of R. schipperae that has been described. R. schipperae is characterized by the production of clusters of up to 10 sporangiophores arising from simple but well-developed rhizoids. These asexual reproductive propagules are produced on Czapek Dox agar but are absent on routine mycology media, where only chlamydospores are observed. Despite multiorgan failure, bacteremia, and disseminated zygomycosis, the patient survived and had a good neurological outcome. Heatstroke has not been previously described as a risk factor for the development of disseminated zygomycosis.

Idioma originalEnglish (US)
Páginas (desde-hasta)2656-2662
Número de páginas7
PublicaciónJournal of clinical microbiology
Volumen37
N.º8
DOI
EstadoPublished - 1999

ASJC Scopus subject areas

  • Microbiology (medical)

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