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Volume 43, Number 1, February 2010

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   


Key words:

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.