著者
Takashi Yoshida Takuto Tachita Haruna Fujinami Yoshiko Oshima Hirokazu Sasaki Yoshiaki Marumo Tomoko Narita Asahi Ito Masaki Ri Shigeru Kusumoto Takashi Ishida Hirokazu Komatsu Shinsuke Iida
出版者
The Japanese Society of Internal Medicine
雑誌
Internal Medicine (ISSN:09182918)
巻号頁・発行日
pp.2082-18, (Released:2019-04-17)
参考文献数
27
被引用文献数
7

Infectious diseases, including those caused by fungi, remain important issues in patients receiving malignant lymphoma chemotherapy. We herein report a rare case of Exophiala dermatitidis fungemia during chemotherapy in a 67-year-old woman admitted to our hospital. She had a fever that could not be resolved despite antifungal therapy. Yeast-like fungi were detected in blood culture samples, but biochemical identification was difficult. E. dermatitidis, a black mold, was identified using time-of-flight mass spectrometry. The patient finally improved after her treatment was switched to voriconazole. Fungal infection is difficult to diagnose and treat, but this novel approach can improve patients' outcomes.