Blame Yourself
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Transcript of Blame Yourself
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8/17/2019 Blame Yourself
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Fusarium are flamentous non-pigmented septated ungi
ubiquitous in the environment. Fusariosis is a not uncommon
invasive mold in ection in patients with hematologic malignancies
and hematopoietic cell transplants. In ection tends to spread
rapidly in immunocompromised patients due to angioinvasiveness
and ungemia but tends to remain localized in immunocompetent
patients. Blood cultures are positive in almost hal o the
immunocompromised patients with Fusarium in ection [ !. Fusariosis
has high mortality rate once disseminated" and reversion o
neutropenia is imperative along with anti ungal therapy withvoriconazole or amphotericin B.
#ase report $
% &' year-old-male was admitted to our institution with the
chie complaint o productive cough or ( days" associated with
ever up to ) .*+F" pleuritic chest pain" asthenia and emesis. ,he
patient had history o acute myeloid leu emia" recently completed
consolidation cycle $' with high-dose cytarabine or ) days prior
to this admission" and was ta ing acyclovir" uconazole and
levo o/acin or neutropenic prophyla/is. 0ast medical history was
also remar able or diabetes and 12,. 3e is a retired truc driver"
lives with his wi e and has no to/ic habits or amily history o
malignancies.
4pon e/amination" the patient appeared ill" a ebrile 5, 6+.7+F8"
tachycardic 539 ** bpm8" normotensive 5B0 *):&* mm3g8 and
tachypneic 599 *6 breaths per minute8. 3is physical e/am revealed
respiratory distress with clear lung auscultation" and le t arm 0I##
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8/17/2019 Blame Yourself
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line with no signs o in ection. ; in was intact.