Infecˋˋo disseminada por Trichosporon spp em rec谷m-nascido prematuro: relato de um caso

作者：Pereira; Denise N; Nader; Silvana S; Nader; Paulo; Martins; Patricia G; Furlan; Silvana P; Hentges; Claudia R

来源：Jornal de Pediatria, 2009, 85(5): 459-461.

DOI：10.1590/S0021-75572009000500016

• newborn infant
• premature infant
• low birth weight
• sepsis.

objective: to report the first case of disseminated trichosporon spp infection in a newborn infant in brazil, discussing a few aspects concerning management and treatment. a new spectrum of pathogens associated with severe infections in neonatal icu has arisen, afflicting mainly newborn infants weighing less than 1,000 g at birth. infection with trichosporon asahii is rare and often fatal in this group of patients. description: a case of trichosporon spp fatal infection in a newborn weighing 815 g at birth is reported. literature search in the main databases returned only nine articles, reporting 14 cases of infection with this fungus in preterm newborns. conclusions: the rate of invasive fungal infection is around 6% in this group of patients, trichosporon infection being a likely occurrence. mortality rate in these cases is extremely high, but early treatment with triazole antifungals improves prognosis significantly.