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MALASSEZIA FURFUR FUNGEMIA AS A TREATABLE CAUSE OF OBSCURE FEVER IN A LEUKEMIA PATIENT RECEIVING PARENTERAL NUTRITION
Author(s) -
MIDDLETON C.,
LOWENTHAL R. M.
Publication year - 1987
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1987.tb01270.x
Subject(s) - medicine , parenteral nutrition , fungemia , leukemia , central venous catheter , jaundice , intensive care medicine , dermatology , surgery , mycosis , catheter
We describe a 46‐year‐old man with acute non‐lymphocytic leukemia (ANLL) and Crohn's disease who, while receiving total parenteral nutrition (TPN), developed a protracted febrile illness with thrombocytopenia, pulmonary infiltrates and jaundice. Malassezia furfur , a lipophilic fungus, was identified from blood culture on lipid‐enriched media. The patient improved rapidly with cessation of TPN and removal of his central venous catheter. M. furfur may cause a severe illness in immunosuppressed patients receiving TPN.