Asunto(s)
Femenino , Humanos , Persona de Mediana Edad , Neoplasias Pleurales/diagnóstico , Pleuresia/diagnóstico , Leucemia de Células Plasmáticas/diagnóstico , Derrame Pleural/diagnóstico , Derrame Pleural/etiología , Derrame Pleural/patología , Neoplasias Pleurales/complicaciones , Neoplasias Pleurales/patología , Pleuresia/etiología , Pleuresia/patología , Radiografía Torácica , Leucemia de Células Plasmáticas/complicaciones , Leucemia de Células Plasmáticas/patología , Resultado Fatal , MarruecosRESUMEN
Saprochaete capitata (S. capitata) fungal sepsis is a severe condition with a clinical presentation that is similar to other yeast originated fungal sepsis. It is observed in patients with hematological malignancies such as acute myeloid leukemia and neutropenia. We report a 23 year old male presenting with cough, fever and malaise. A bone marrow biopsy led to the diagnosis of acute myeloid leukemia. During the first cycle of chemotherapy the patient presented fever: blood cultures were positive for Klebsiella pneumoniae. Despite antimicrobial treatment, fever persisted; a computed tomography showed a focal splenic lesion; a left exudative pleural effusion appeared. A Matrix Assisted Laser Desorption Ionization-Time of Flight mass spectrometry identified the presence of S. capitata. After multiple antifungal treatments and pleural cavity cleansing by means of videothoracoscopy and laparoscopic splenectomy, the infection resolved and the patient completed his chemotherapy.