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Annals of Clinical & Laboratory Science 37:366-369 (2007)
© 2007 Association of Clinical Scientists

Case Report

Successful Treatment of Septic Shock with Purpura Fulminans Caused by Trichosporon asahii in an Immunocompetent Patient

Youn Jeong Kim1, Sang Il Kim1, Yang Ree Kim1, Young Min Park2, Yeon Joon Park3 and Moon Won Kang1
1 Departments of Internal Medicine, 2 Dermatology, and 3 Laboratory Medicine, Kangnam St. Mary’s Hospital, The Catholic University of Korea, College of Medicine, Seoul, Korea

Address correspondence to Sang-Il Kim, M.D., Dept. of Internal Medicine, College of Medicine, Catholic University of Korea, Kangnam St. Mary’s Hospital, 505 Banpo-Dong, Seoucho-Gu, Seoul, 137-701, Korea; tel 82 2 590 2710; fax 82 2 599 3589; e-mail drksi{at}catholic.ac.kr.

Trichosporon asahii is an emerging mycosis characterized by high mortality rate in immunologically compromised patients. Only a few cases have been reported in immunocompetent subjects. We report a 46-yr-old man who had been healthy and who presented with septic shock and purpura fulminans caused by Trichosporon asahii. He responded well to antifungal therapy with amphotericin B and voriconazole.

Keywords: Trichosporon asahii, septic shock, purpura fulminans






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