Resolution of Acremonium kiliense subcutaneous abscess in a renal allograft recipient without antifungal therapy

SarocladiumandAcremoniuminfections: New faces of an old opportunistic fungus

“…A total of 14 cases of Acremonium/Sarocladium superficial infections are reported in the literature, 9 of them being cutaneous 11,32,[88][89][90][91][92][93][94] and 5 subcutaneous, 33,34,[95][96][97] although the identity of the fungus only was molecularly confirmed in one case (A strictum Four patients were immunocompromised by the administration of corticosteroids for severe chronic pulmonary disease 91 or kidney transplantation, 88,89,97 but only one patient succumbed due to the infection. 91 The clinical features showed by these patients comprised erythematous and ulcerated skin, 34 painless swelling, 97 redness and pain, 88 swollen skin with extensive necrotic areas, pustules and purulent exudate, 32,91,92 ulceration, 90 erythematous and scaly plaque, 11,94 nodules 33,95 and fistulae with seropurulent secretion. 92 The anatomical sites affected differed among patients, and these were the face, 33 cheek, 34 thigh, 89 forearm, 91 ankles, 32 legs, 90,94 hand 92,97 or foot and hands.…”

“…A total of 14 cases of Acremonium/Sarocladium superficial infections are reported in the literature, 9 of them being cutaneous 11,32,88‐94 and 5 subcutaneous, 33,34,95‐97 although the identity of the fungus only was molecularly confirmed in one case ( A strictum ) 11 . Reports on these Acremonium superficial infections were from Turkey, Israel, Taiwan, France, India, Russia, the United States and Brazil.…”

“…Four patients were immunocompromised by the administration of corticosteroids for severe chronic pulmonary disease 91 or kidney transplantation, 88,89,97 but only one patient succumbed due to the infection 91 . The clinical features showed by these patients comprised erythematous and ulcerated skin, 34 painless swelling, 97 redness and pain, 88 swollen skin with extensive necrotic areas, pustules and purulent exudate, 32,91,92 ulceration, 90 erythematous and scaly plaque, 11,94 nodules 33,95 and fistulae with seropurulent secretion 92 .…”

Subcutaneous pseudomycetoma of the knee caused by Acremonium species in a diabetic male: A case report

“…[ 2 ] Only a few cases of human Acremonium skin and soft-tissue infections have been reported from India. [ 3 , 4 ] Here, we report an intriguing case of subcutaneous infection caused by Acremonium species in a patient with diabetes mellitus without the characteristic features of a mycetoma.…”

Brote de fungemias por Sarocladium kiliense en ocho hospitales públicos por contaminación intrínseca de ondansetrón intravenoso

“…arocladium kiliense, antes conocido como Acremonium kiliense 1 , es un hongo saprófito de ubicación ubicua en el ambiente, ocasionalmente involucrado como agente oportunista en infecciones en humanos con compromiso inmunitario 2 y responsable de micetomas e infecciones oculares secundarias a lesiones penetrantes en países tropicales 3 . Si bien los reportes de infecciones por este agente son limitados, se ha observado aumento en las infecciones causadas por éste, asociado a condiciones capaces de alterar el sistema inmunológico y procedimientos médicos invasores con fines diagnósticos y terapéuticos 4 tales como recambios valvulares cardiacos, diálisis peritoneal, neurocirugía, catéter venoso central (CVC) y trasplante renal 3,[5][6][7] . También se ha asociado a brotes nosocomiales, con pequeña magnitud, de endoftalmitis, en pacientes sometidos a cirugía de cataratas 8 y fungemias asociadas a CVC en pacientes oncológicos 9 , todos restringidos a un establecimiento y ninguno por contaminación intrínseca de productos farmacológicos.…”