Publication detail

Rare multi-fungal sepsis: a case of triple-impact immunoparalysis

Lipovy, B. Hladik, M. Vyklicka, K. Kocmanova, I. Lengerova, M. Kren, L. Srnik, M. Bohm, J. Andrla, P. Linhartova, PB.

Original Title

Type

journal article in Web of Science

Language

English

Original Abstract

Patients with burn injury and inhalation injury are highly susceptible to infectious complications, including opportunistic pathogens, due to the loss of skin cover and mucosal damage of respiratory tract as well as the disruption of homeostasis. This case report, a 34-year-old man suffered critical burns, provides the first literature description of triple-impact immunoparalysis (critical burns, inhalation injury, and SARS-CoV-2 infection), leading to a lethal multifocal infection caused by several fungi including very rare environmental representatives Metschnikowia pulcherrima and Wickerhamomyces anomalus. The co-infection by these common environmental yeasts in a human is unique and has not yet been described in the literature. Importantly, our patient developed refractory septic shock and died despite targeted antifungal therapy including the most potent current antifungal agent-isavuconazole. It can be assumed that besides immunoparalysis, effectiveness of therapy by isavuconazole was impaired by the large distribution volume in this case. As this is a common situation in intensive care patients, routine monitoring of plasmatic concentration of isavuconazole can be helpful in personalization of the treatment and dose optimization. Whatmore, many fungal species often remain underdiagnosed during infectious complications, which could be prevented by implementation of new methods, such as next-generation sequencing, into clinical practice.

Keywords

Mycobiome; COVID-19; Isavuconazole; Inhalation injury

Authors

Lipovy, B.; Hladik, M.; Vyklicka, K.; Kocmanova, I.; Lengerova, M.; Kren, L.; Srnik, M.; Bohm, J.; Andrla, P.; Linhartova, PB.

Released

1. 8. 2024

Publisher

SPRINGER

Location

DORDRECHT

ISBN

1874-9356

Periodical

FOLIA MICROBIOLOGICA

Year of study

Number

State

Czech Republic

Pages from

903

Pages to

911

Pages count

URL

https://link.springer.com/article/10.1007/s12223-024-01165-0

BibTex

@article{BUT188807,
  author="Břetislav {Lipový} and Martin {Hladik} and Kateřina {Vyklická} and Iva {Kocmanová} and Martina {Lengerová} and Leoš {Křen} and Michal {Srník} and Jan {Böhm} and Petr {Andrla} and Petra {Bořilová Linhartová}",
  title="Rare multi-fungal sepsis: a case of triple-impact immunoparalysis",
  journal="FOLIA MICROBIOLOGICA",
  year="2024",
  volume="69",
  number="4",
  pages="9",
  doi="10.1007/s12223-024-01165-0",
  issn="1874-9356",
  url="https://link.springer.com/article/10.1007/s12223-024-01165-0"
}