Urinary System Infection Caused by Paecilomyces Variotti

Süleyman Durmaz,A Nedret Koc,M Altay Atalay,Selcan Çolakoglu,Hakan Poyrazoğlu,F Filiz Kasap Tekinsen

doi:10.15197/ejgm.1472

Süleyman Durmaz, A Nedret Koc + Show 4 more

Open Access

https://doi.org/10.15197/ejgm.1472

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Abstract

Fungal organisms are one of the important factor in nosocomial urinary tract infections caused by endo-urological procedures. Herein we report a case of pyelonephritis caused by Paecilomyces variotti in a 14-month-old child following an uriner tract operation. He had operation in 3.5-month-old for reason of ureteropelvic junction obstruction. Approximately two months after the operation a tissue fragments ejected from urinary tract. The patient admitted to our hospital because of bimonthly recurrence was occured. This tissue fragment was sent for fungal studies to our department. Direct microscopy revealed hyphae. P. variotii was isolated from discarded tissue fragments. Cure was achieved by 2 mg / kg / day for 15 days treatment with amphotericin B.

Highlights

Paecilomyces species exist extensively in the world as soil saprophyte, insect parasite and biological deterioration factor
It is aimed to represent the urinary system infection case which is caused by P. variotii that grown after double –J (D-J) catheter insertion owing to ureteropelvic (UP) obstruction
Be it colonies other than green or blue-green, be it phialides which is wider in basal parts, show obstruction towards to neck-point and be it to leave the main axis by bending, are the most significant morphological properties used to differentiate from Penicillium [1]

Summary

INTRODUCTION

Paecilomyces species exist extensively in the world as soil saprophyte, insect parasite and biological deterioration factor. Surgical operations, placed prosthesis, using of contaminated solutions or lotions are risk factors that cause infection. Because, conidium of both are partially resistant to the most of sterilization techniques [1]. Conidium of both are partially resistant to the most of sterilization techniques [1] In this case, it is aimed to represent the urinary system infection case which is caused by P. variotii that grown after double –J (D-J) catheter insertion owing to ureteropelvic (UP) obstruction. Because of UP obstruction, a double catheter was inserted to 14 months old patient when he was 3.5 months old. Patient was admitted our pediatric clinic with these complaints that continued for 10 months.

Urinary Infection Paecilomyces Variotti

DISCUSSION

Voriconazole Caspofungin Itraconazole