Concepedia

Acute Invasive Sinusitis Due toTrichoderma longibrachiatumin a Liver and Small Bowel Transplant Recipient

Hiroyuki Furukawa, Shimon Kusne, Deanna A. Sutton, Rafael Máñez, Ricardo Carrau, Kareem Abu‐Elmagd Larry Nichols, Demetrios G. Skedros, Satoru Todo, Michael G. Rinaldi

Clinical Infectious Diseases · 1998 · 61 citations · 12 references

DOI Full text

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Concepts

MedicineInfectious DiseasesMicrobiologyAntimicrobial PharmacotherapyMycologyRhinologyAntifungal AgentsAntifungal PharmacotherapyAntifungal TherapyFungal ImmunologyFungal InfectionsFungal PathologyAcute Sinusitis ManagementFungal Infections In Transplant RecipientsInvasive Fungal InfectionsItraconazole TherapyLiver Transplant Recipient SelectionLiver Transplant Rejection

Abstract

We describe a case of acute invasive sinusitis due to an unusual moniliaceous fungus, Trichoderma longibrachiatum Rifai 1969 (a member of the class Hyphomycetes), in a small bowel and liver transplant recipient treated with tacrolimus (FK-506) and prednisone. The patient was successfully treated with surgical debridements and amphotericin B followed by oral itraconazole.