RESUMO
Kodamaea (Pichia) ohmeri is a yeast species that has not been reported to be a frequent cause of human infections. The current report describes a case of fungemia caused by K. ohmeri in a 3-year-old female patient hospitalized in the public hospital Maria Alice Fernandes, Natal, RN, Brazil. The patient had previously received antimicrobial therapy due to a peritoneal infection and nosocomial pneumonia, and had a central venous catheter implanted. Kodamaea ohmeri was isolated from blood and the tip of the catheter, 48 h after its implantation. The yeast was identified by standard microbiological methods and sequence analysis of the D1/D2 domains and the ITS 1 + 2 spacer regions of the ribosomal DNA. On CHROMagar Candida medium, the isolate showed a color change from pink to blue. The yeast was susceptible to amphotericin B, and liposomal AmB was used successfully to clear the infection.
Assuntos
Infecção Hospitalar/diagnóstico , Fungemia/diagnóstico , Pichia/isolamento & purificação , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Anfotericina B/uso terapêutico , Cateteres de Demora/microbiologia , Criança , Infecção Hospitalar/tratamento farmacológico , Infecção Hospitalar/microbiologia , Feminino , Fungemia/tratamento farmacológico , Fungemia/microbiologia , Hospitais Públicos , Humanos , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Pichia/genéticaRESUMO
Este trabalho propoe uma conduta para o acompanhamento de pacientes somatizados. Ressalta a participacao do medico e do psicologo, define o papel de cada um destes profissionais e suas interrelacoes. Mostram-se resumos de casos clinicos nos quais este procedimento foi aplicado.
