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Scholars Journal of Medical Case Reports | Volume-9 | Issue-10
Invasive Trichosporonosis in Immunocompetent Patient, a Case Report and Review of Literature
Nabil Tiresse, Hanane El Ouazzani, Ismail Rhorfi, Ahmed Abid
Published: Oct. 14, 2021 | 228 191
DOI: 10.36347/sjmcr.2021.v09i10.017
Pages: 990-993
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Abstract
Trichosporonosis is an uncommon fungal infection that affects immunocompromised patients and has a very poor prognosis. We present a case of a 23 years-old immunocompetent patient with a history of tuberculous lymph nodes. We observed the patient from admission until discharge from the hospital. There are several diagnostic and therapeutic difficulties. Clinical symptoms and radiological findings may vary according to the affected organ. Symptoms may reflect either superficial or deep infection. Diagnosis is based on microscopic study and culture of superficial specimen. In deep infections, identification of Trichosporon spp. depends on biochemical characteristics and cell morphology. Radiological imaging is most important to assess lesion extension. Several evolutions without treatment is recognized due to this disease and his complications. The patient died despite being on fluconazole treatment which confirms the reserved prognosis of the pathology reported in the literature. Several evolutions without treatment is recognized due to this disease and his complications. W. ithout treatment, the evolution occurs in more than 80% of cases towards death. Special attention should be paid to this pathology.