Detail publikace

Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation

LIPOVÝ, B. RAŠKA, F. KOCMANOVÁ, I. HANSLIANOVÁ, M. HLADÍK, M. HOLOUBEK, J. BEZDÍČEK, M. MACHÁČEK, C.

Originální název

Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation

Typ

článek v časopise ve Web of Science, Jimp

Jazyk

angličtina

Originální abstrakt

Infectious complications are responsible for the majority of mortalities and morbidities of patients with critical burns. Although bacteria are the predominant etiological agents in such patients, yeasts and fungi have become relatively common causes of infections over the last decade. Here, we report a case of a young man with critical burns on 88% TBSA (total body surface area) arising as a part of polytrauma. The patient's history of orthotopic liver transplantation associated with the patient's need to use combined immunosuppressant therapy was an additional complication. Due to deep burns in the forearm region, we have (after a suitable wound bed preparation) applied a new bi-layered dermal substitute. The patient, however, developed a combined fungal infection in the region of this dermal substitute caused by Trichoderma longibrachiatum and Aspergillus fischeri (the first case ever reported). The infection caused the loss of the split-thickness skin grafts (STSGs); we had to perform repeated hydrosurgical and mechanical debridement and a systemic antifungal treatment prior to re-application of the STSGs. The subsequent skin transplant was successful.

Klíčová slova

dermal substitute; infection; Trichoderma; Aspergillus; critical burns; liver transplantation; immunosuppression

Autoři

LIPOVÝ, B.; RAŠKA, F.; KOCMANOVÁ, I.; HANSLIANOVÁ, M.; HLADÍK, M.; HOLOUBEK, J.; BEZDÍČEK, M.; MACHÁČEK, C.

Vydáno

18. 6. 2021

Nakladatel

MDPI

Místo

BASEL

ISSN

2309-608X

Periodikum

Journal of Fungi

Ročník

7

Číslo

6

Stát

Švýcarská konfederace

Strany od

1

Strany do

10

Strany počet

10

URL

https://www.mdpi.com/2309-608X/7/6/487

Plný text v Digitální knihovně

http://hdl.handle.net/11012/202263

BibTex

@article{BUT173069,
  author="Břetislav {Lipový} and Filip {Raška} and Iva {Kocmanová} and Markéta {Hanslianová} and Martin {Hladík} and Jakub {Holoubek} and Matěj {Bezdíček} and Ctirad {Macháček}",
  title="Trichoderma longibrachiatum and Aspergillus fischeri Infection as a Cause of Skin Graft Failure in a Patient with Critical Burns after Liver Transplantation",
  journal="Journal of Fungi",
  year="2021",
  volume="7",
  number="6",
  pages="1--10",
  doi="10.3390/jof7060487",
  issn="2309-608X",
  url="https://www.mdpi.com/2309-608X/7/6/487"
}