Universidad Peruana Cayetano Heredia

Mycotic aneurysms due to Trichosporon asahii in a patient with ulcerative colitis under immunosuppression

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dc.contributor.author Quintana, Juan Luis
dc.contributor.author Carreras, Xosse
dc.contributor.author Salcedo, Andrea S.
dc.contributor.author Ruíz, Lourdes Torres
dc.contributor.author Gonzales, Manuel Moreno
dc.contributor.author Del Castillo Mory, Alfonso
dc.contributor.author Cedrón Cheng, Hugo Guillermo
dc.contributor.author Gonzalez, Alfredo Chiappe
dc.date.accessioned 2023-09-06T20:45:11Z
dc.date.available 2023-09-06T20:45:11Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14105
dc.description.abstract Yeast fungi of the genus Trichosporon spp. can colonize the gastrointestinal tract in humans. In recent decades, the pathogenic role of Trichosporon asahii has been increasingly acknowledged especially in the setting of neutropenic patients with hematological malignancies. However, non-neutropenic patients who are immunosuppressed for other reasons are also at risk of developing invasive forms of this mycosis. We present the case of a 62-year-old male, with a history of ulcerative colitis under immunosuppressive treatment and previous exposure to antibiotics for various bacterial infections, who was admitted to the emergency department with a mycotic aneurysm of the abdominal aorta and left common iliac secondary to T. asahii infection. A multidisciplinary approach of the case (both early medical and surgical interventions) allowed the patient's favorable outcome. The patient was followed for more than two years with no evidence of relapse. We postulate that the diagnosis of invasive Trichosporonosis should be considered in patients with inflammatory bowel disease (IBD) under immunosuppressive treatment and with prior exposure to antibiotics. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries IDCases
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Trichosporon asahii en_US
dc.subject Mycotic aneurysm en_US
dc.subject Ulcerative colitis en_US
dc.subject Immunosuppressive therapy en_US
dc.subject.mesh Noxas
dc.subject.mesh Aneurisma Infectado
dc.subject.mesh Colitis Ulcerosa
dc.subject.mesh Terapia de Inmunosupresión
dc.title Mycotic aneurysms due to Trichosporon asahii in a patient with ulcerative colitis under immunosuppression en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/j.idcr.2023.e01794
dc.relation.issn 2214-2509


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