Rhodotorula mucilaginosa associacted meningitis: A subacute entity with high mortality. Case report and review

Sotirios Tsiodras; Sotirios Papageorgiou; Joseph Meletiadis; Polydoros Tofas; Vasiliki Pappa; John Panayiotides; Petros Karakitsos; Apostolos Armaganidis; George Petrikkos

doi:10.1016/j.mmcr.2014.08.006

Medical Mycology Case Reports (Oct 2014)

Rhodotorula mucilaginosa associacted meningitis: A subacute entity with high mortality. Case report and review

Sotirios Tsiodras,
Sotirios Papageorgiou,
Joseph Meletiadis,
Polydoros Tofas,
Vasiliki Pappa,
John Panayiotides,
Petros Karakitsos,
Apostolos Armaganidis,
George Petrikkos

Affiliations

Sotirios Tsiodras: 4th Department of Internal Medicine, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece
Sotirios Papageorgiou: Haematology Unit, 2nd Department of Internal Medicine-Propaedeutic, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece
Joseph Meletiadis: Clinical Microbiology Laboratory, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece
Polydoros Tofas: 4th Department of Internal Medicine, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece
Vasiliki Pappa: Haematology Unit, 2nd Department of Internal Medicine-Propaedeutic, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece
John Panayiotides: 2nd Department of Pathology, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece
Petros Karakitsos: Department of Cytopathology, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece
Apostolos Armaganidis: 1st Department of Critical Care, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece
George Petrikkos: 4th Department of Internal Medicine, “Attikon” University General Hospital, Medical School, National and Kapodistrian University of Athens, Rimini 1, 12462 Athens, Greece

DOI: https://doi.org/10.1016/j.mmcr.2014.08.006
Journal volume & issue: Vol. 6, no. C
pp. 46 – 50

Abstract

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A fatal case of meningitis due to Rhodotorula mucilaginosa in a 28 year-old HIV-negative male with a history of Hodgkin lymphoma who underwent salvage chemotherapy is presented. Reviewing the literature we identified 13 cases with central nervous system infection due Rhodotorula spp. The disease usually occurs in HIV negative immunosupressed middle-aged males. It takes the form of subacute or chronic meningitis accompanied by fever with an overall mortality of 46.2% despite antifungal therapy.

Published in Medical Mycology Case Reports

ISSN: 2211-7539 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Medicine (General); Science: Biology (General)
Website: https://www.journals.elsevier.com/medical-mycology-case-reports/

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