論文

国際誌
2021年11月15日

Clinical and microbiological characteristics of proven invasive aspergillosis due to rare/cryptic species in allogeneic hematopoietic stem cell transplant recipients.

Antimicrobial agents and chemotherapy
  • Ryosuke Yamamuro
  • Muneyoshi Kimura
  • Yuki Asano-Mori
  • Masahiro Abe
  • Shigeki Nakamura
  • Takashi Umeyama
  • Satoshi Yamagoe
  • Yoshitsugu Miyazaki
  • Sho Ogura
  • Takashi Sakoh
  • Takashi Mitsuki
  • Kyosuke Yamaguchi
  • Mitsuhiro Yuasa
  • Daisuke Kaji
  • Kosei Kageyama
  • Aya Nishida
  • Yuki Taya
  • Kazuya Ishiwata
  • Shinsuke Takagi
  • Hisashi Yamamoto
  • Go Yamamoto
  • Naoyuki Uchida
  • Atsushi Wake
  • Shuichi Taniguchi
  • Hideki Araoka
  • 全て表示

66
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開始ページ
AAC0163021
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1128/AAC.01630-21

There are few reports on the clinical course of proven invasive aspergillosis (IA) due to rare/cryptic species in allogeneic hematopoietic stem cell transplant (allo-HSCT) recipients. We retrospectively reviewed the electronic medical records of patients who underwent allo-HSCT between January 2012 and December 2018. Of 934 allo-HSCT recipients, 10 were diagnosed with proven IA and 61 were diagnosed with probable IA. DNA sequencing was performed in cases of proven IA, and Aspergillus could be identified to the species level in 8 of the 10 cases. Three were due to A. fumigatus, and 5 were due to rare/cryptic Aspergillus species, namely, A. turcosus, A. felis, A. viridinutans, A. nidulans, and A. calidoustus. In these 8 patients, no patients with IA due to A. fumigatus died, whereas 3 of the 5 with IA due to rare/cryptic species died within 12 weeks. The 2 surviving cases of IA due to rare/cryptic species were treated with surgical resection and antifungal treatment. Susceptibility testing for cryptic species in 4 cases showed an amphotericin B minimum inhibitory concentration (MIC) > 1 mg/L in 3 cases, itraconazole MIC > 1 mg/L in 2 cases, and voriconazole MIC > 1 mg/L in 2 cases. In conclusion, more than half of the causative pathogens of proven IA were rare/cryptic species, so it is important to accurately identify the Aspergillus species. In addition, surgical treatment might be an important option in cases of proven IA, given the possibility that the causative organisms are azole-resistant A. fumigatus or rare/cryptic species.

リンク情報
DOI
https://doi.org/10.1128/AAC.01630-21
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/34780271
PubMed Central
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8765323
ID情報
  • DOI : 10.1128/AAC.01630-21
  • PubMed ID : 34780271
  • PubMed Central 記事ID : PMC8765323

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