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<Emphasis Type="Italic">Trichosporon inkin</Emphasis> Esophagitis: An Uncommon Disease in a Patient with Pulmonary Cancer
Authors:Danielle Patrícia Cerqueira Macêdo  Neiva Tinti de Oliveira  Vanessa Karina Alves da Silva  Aline Mary de Almeida Farias  Reginaldo Gonçalves de Lima Neto  Ana Botler Wilheim  Patrícia Cariolano de Oliveira  Nadyr Pedi  Suanni Lemos de Andrade  Rejane Pereira Neves
Institution:1.Departamento de Micologia, Centro de Ciências Biológicas,Universidade Federal de Pernambuco,Recife,Brazil;2.Setor de Endoscopia Digestiva do Laboratório Geral do Hospital,Universitário Oswaldo Cruz,Recife,Brazil
Abstract:Trichosporon species are usually opportunistic pathogens. Here, we present a case of esophagitis caused by T. inkin in a 54-year-old woman with pulmonary cancer and severe neutropenia in whom the susceptibility profile of the isolate against azoles and polyenes was verified. The patient was diagnosed with esophagitis grade I of Wilcox, presenting scattered whitish plaques and exudates in upper two-thirds of the esophageal mucosa. Antifungal therapy involving oral fluconazole (150 mg/day for 14 days) was ineffective. In vitro, the isolate showed no resistance to this azole and sensitivity to amphotericin B. Since T. inkin is of growing importance as an agent of invasive infections in immunocompromised patients, we stress that the diagnosis of esophagitis by this species should be followed by an assessment of the therapeutic sensitivity of the strain involved.
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