Nosocomial Trichosporon asahii Fungemia in a Patient with Secondary Hemochromatosis: A Rare Case Report
Shih-Ta Shanga, Ya-Sung Yang, Ming-Yieh Peng
Received: December 15, 2008 Revised: March 27, 2009 Accepted: May 26, 2009
fungemia, hemochromatosis, Trichosporon asahii, trichosporonosis
Trichosporon asahii (formerly known as T. beigelii) is an emerging, life-threatening opportunistic pathogen, especially in severely granulocytopenic patients with underlying hematological malignancies. Other reported predisposing factors for infection with this pathogen include organ transplantation, extensive burns, human immunodeficiency virus infection, corticosteroid therapy, prosthetic valve surgery, and peritoneal dialysis. We report a 53-year-old nongranulocytopenic female with secondary hemochromatosis, who developed nosocomial fungemia caused by T. asahii. This case suggests that clinicians should be aware that T. asahii fungemia can develop in nongranulocytopenic patients with secondary hemochromatosis.