Artículo de revista
Rol de la cirugía en el manejo de la infección invasora por Saprochaete capitata
Fecha
2017Registro en:
Rev Med Chile 2017; 145: 1067-1071
0717-6163
Autor
Radich R., Jasna
Álvarez Zepeda, Carlos
Valenzuela R., Ana
Castillo H., Felipe
Moraga V., Francisco
Castillo A., Jorge
Institución
Resumen
Saprochaete capitata (S. capitata) fungal sepsis is a severe condition with
a clinical presentation that is similar to other yeast originated fungal sepsis. It
is observed in patients with hematological malignancies such as acute myeloid
leukemia and neutropenia. We report a 23 year old male presenting with cough,
fever and malaise. A bone marrow biopsy led to the diagnosis of acute myeloid
leukemia. During the first cycle of chemotherapy the patient presented fever:
blood cultures were positive for Klebsiella pneumoniae. Despite antimicrobial
treatment, fever persisted; a computed tomography showed a focal splenic lesion;
a left exudative pleural effusion appeared. A Matrix Assisted Laser Desorption
Ionization-Time of Flight mass spectrometry identified the presence of S. capitata.
After multiple antifungal treatments and pleural cavity cleansing by means of
videothoracoscopy and laparoscopic splenectomy, the infection resolved and the
patient completed his chemotherapy.