A Case of Septic Shock due to Kodamaea Ohmeri

Abstract

Kodamaea ohmeri is an emerging rare fungal pathogen that often infects patients with weakened immunity. Herein, we report a case of a patient with normal immune function infected with K.ohmeri. The patient presented with fever, shortness of breath and lethargic (accompanied by septic shock in one episodes) within two weeks. Chest roentgenography showed massive right-side pleural effusion and atelectasis, and left-side pneumonia. Thoracentesis yielded pleural effusion containing a nucleated cell count of more than 600·106·L-1. An bronchoalveolar lavage fluid culture grew K.ohmeri. According to the result of drug sensitivity, voriconazole was used for anti-fungal treatment.The patient died after medical treatment. Early and accurate identification of K. ohmeri is critical to determining treatment options. Septic shock caused by severe fungal pneumonia requires early, aggressive and multidisciplinary treatment.