From: Molecular detection, not extended culture incubation, contributes to diagnosis of fungal infection
Patient | Specimen | Culture identification | Time to detection of growth (days) | Patient history | Reason for culture | Clinical information |
---|---|---|---|---|---|---|
1 | Skin Biopsy | Paecilomyces spp. | 19 | Renal transplantation | One month of scattered papular lesions on extremities | No finding to suggest for infection by surgical pathological examination. |
2 | BAL | Acremonium spp. | 20 | Lung transplant | Left ureteral stone | No findings to suggest for infection by chest X–ray. |
3 | Sputum | Acremonium spp. | 22 | HIV on HAART | Suspected for hospital acquired pneumonia | Patient responded well to vancomycin and pipera cillin/tazobactam treatment. |
4 | Sputum | Acremonium spp. | 25 | Bioprosthetic aortic valve | Hemoptysis with abnormal chest X ray | Hemoptysis resolved and serial CXRs showed resolution of persistent RLL infiltrate after empiric antibiotic treatment. |
5 | Wound | Penicilium spp. | 15 | Colon carcinoma and asthma | Evaluation prior to planned ventral hernia repair surgery | No infection |
6 | Bronchial wash | Penicilium spp. | 15 | No significant past medical history | Lung mass | Sequamous cell carcinoma |
7 | BAL | Penicilium spp. | 19 | No significant past medical history | Cough, fatigue & decreased appetite | Upper respiratory viral infection |