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Fusarium
Presumptively classified as Hypomycetes.
Pathology:
1) Fusarium keratitis associated with contact lens solution, ReNu with MoistureLoc [2]
2) human pathogen in immunocompromised hosts
3) Fusarium skin lesions in immunosuppressed patients are almost always associated with disseminated myocosis [1]
Clinical manifestations:
1) nodular or hemorrhagic skin lesions
2) pulmonary infiltrates
Laboratory:
1) may appear identical to Aspergillus in tissue smears
2) may be cultured from blood or skin biopsy material
3) Fusarium IgE in serum
Management:
1) amphotericin B 1.0-1.5 mg/kg/day IV
2) may be highly resistant to amphotericin B
3) liposomal amphotericin B + terbinafine has been used [3]
Specific
Fusarium culmorum
Fusarium moniliforme
Fusarium oxysporum
Fusarium roseum
Fusarium solani
General
Hypomycetes
Properties
KINGDOM: plant
DIVISION: EUMYCOPHYTA
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, 15,
American College of Physicians, Philadelphia 1998, 2009
- Chang DC et al,
Multistate outbreak of Fusarium keratitis associated with
use of contact lens solution.
JAMA 2006, 296:953
PMID: 16926355
http://jama.ama-assn.org/cgi/content/full/296/953
- Neuburger S et al
Successful salvage treatment of disseminated cutaneous
fusariosis with liposomal amphotericin B and terbinafine after
allogeneic stem cell transplantation
Transpl Infect Dis 2008 10(4):290-3
PMID: 18194367