Rhodotorula mucilaginosa Fungemia in an Infected Biloma Patient Following a Traumatic Liver Injury
<p>Computed tomography scan of the abdomen non-contrasted phase showing heterogenous areas consisting of hematoma and laceration at segments V, VI, VII, and VIII extending down to the subhepatic region (red arrow). Inferiorly, it extends down to the hepatic flexure, just lateral to the right pararenal space. Another subcapsular collection was seen adjacent to right liver lobe (blue arrow): (<b>a</b>) coronal view, (<b>b</b>) sagittal view, and (<b>c</b>) axial view, with findings as aforementioned.</p> "> Figure 1 Cont.
<p>Computed tomography scan of the abdomen non-contrasted phase showing heterogenous areas consisting of hematoma and laceration at segments V, VI, VII, and VIII extending down to the subhepatic region (red arrow). Inferiorly, it extends down to the hepatic flexure, just lateral to the right pararenal space. Another subcapsular collection was seen adjacent to right liver lobe (blue arrow): (<b>a</b>) coronal view, (<b>b</b>) sagittal view, and (<b>c</b>) axial view, with findings as aforementioned.</p> "> Figure 2
<p>Salmon-pink colonies of <span class="html-italic">Rhodotorula mucilaginosa</span> on sheep blood agar (<b>left</b>) and on Sabouraud dextrose agar (<b>right</b>). Sheep blood agar was initially used as it is the standard isolation media used for all positive blood cultured in the bacteriology laboratory. Once the organism was found to be yeast, a subculture onto mycological isolation media such as Sabouraud dextrose agar was carried out.</p> "> Figure 3
<p>A Gram stain of the positive blood culture showing budding yeast cells (1000× magnification). The yeast was identified as <span class="html-italic">Rhodotorula mucilaginosa</span> (%ID: 91.9) through biochemical means using the ID 32 C kit (Biomerieux, Marcy-l’Étoile, France). Our isolate’s identity was further confirmed by matrix-assisted laser desorption ionization–time of flight mass spectrometry (MALDI Biotyper, Bruker-Daltonics, Bremen, Germany), which matched its mass spectral pattern with that of <span class="html-italic">Rhodotorula mucilaginosa</span> DSM 70403 DSM.</p> ">
Abstract
:1. Introduction
2. Detailed Case Description
3. Discussion
4. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Antifungal Agent | Minimal Inhibitory Concentration (μg/mL) |
---|---|
Amphotericin B | 0.25 |
Fluconazole | 128 |
Itraconazole | 1 |
Voriconazole | 2 |
Posaconazole | 1 |
Anidulafungin | ≥8 |
Caspofungin | ≥8 |
Micafungin | ≥8 |
Flucytosine | 0.06 |
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Mokhtar, M.N.; Rahman, R.A.; Abdullah, F.H.; Azaharuddin, I.; Izaham, A.; Ding, C.H. Rhodotorula mucilaginosa Fungemia in an Infected Biloma Patient Following a Traumatic Liver Injury. Healthcare 2024, 12, 880. https://doi.org/10.3390/healthcare12090880
Mokhtar MN, Rahman RA, Abdullah FH, Azaharuddin I, Izaham A, Ding CH. Rhodotorula mucilaginosa Fungemia in an Infected Biloma Patient Following a Traumatic Liver Injury. Healthcare. 2024; 12(9):880. https://doi.org/10.3390/healthcare12090880
Chicago/Turabian StyleMokhtar, Mohammad Nizam, Raha Abdul Rahman, Farah Hanim Abdullah, Izzuddin Azaharuddin, Azarinah Izaham, and Chuan Hun Ding. 2024. "Rhodotorula mucilaginosa Fungemia in an Infected Biloma Patient Following a Traumatic Liver Injury" Healthcare 12, no. 9: 880. https://doi.org/10.3390/healthcare12090880