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Li X, Wang D, Hao M, Li Z, Zhang C, Feng S, Wang S. The first report of Apiotrichum mycotoxinivorans isolation from human cerebrospinal fluid. Eur J Clin Microbiol Infect Dis 2024; 43:597-604. [PMID: 38103075 DOI: 10.1007/s10096-023-04736-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2023] [Accepted: 12/06/2023] [Indexed: 12/17/2023]
Abstract
Fungal infections due to Apiotrichum mycotoxinivorans are clinically rare. Here, we report a case of invasive blood and cerebrospinal fluid infection by Apiotrichum mycotoxinivorans in a girl with B-cell acute lymphoblastic leukemia. This is the first report of the isolation of Apiotrichum mycotoxinivorans from human cerebrospinal fluid. MRI features of meningitis caused by this fungus are presented. Three small isoquinoline alkaloids inhibited the growth of this rare fungus in vitro, providing a starting point for the application of natural products to treat this highly fatal fungal infection. Our case presentation confirms Apiotrichum mycotoxinivorans as a potential emerging pathogen in patients with hematological malignancy undergoing chemotherapy.
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Affiliation(s)
- Xiuyun Li
- Maternal and Child Health Development Research Center, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, 250014, China
- Department of Natural Product Chemistry, Key Laboratory of Chemical Biology (Ministry of Education), School of Pharmaceutical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, 250012, China
| | - Dong Wang
- Maternal and Child Health Development Research Center, Shandong Provincial Maternal and Child Health Care Hospital Affiliated to Qingdao University, Jinan, 250014, China
| | - Mingju Hao
- Department of Clinical Laboratory Medicine, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Shandong Medicine and Health Key Laboratory of Laboratory Medicine, Jinan, 250014, China
| | - Zheng Li
- Microbiology Laboratory, Children's Hospital Affiliated to Shandong University, Jinan, 250022, China
- Shandong Provincial Clinical Research Center for Children's Health and Disease, No. 23976 Jingshi Road, Jinan, 250022, China
| | - Chunyan Zhang
- Microbiology Laboratory, Children's Hospital Affiliated to Shandong University, Jinan, 250022, China
- Shandong Provincial Clinical Research Center for Children's Health and Disease, No. 23976 Jingshi Road, Jinan, 250022, China
| | - Shulong Feng
- Pediatric Surgery, Liaocheng Dongchangfu District Maternal and Child Health Hospital, Liaocheng, 252000, China
| | - Shifu Wang
- Microbiology Laboratory, Children's Hospital Affiliated to Shandong University, Jinan, 250022, China.
- Shandong Provincial Clinical Research Center for Children's Health and Disease, No. 23976 Jingshi Road, Jinan, 250022, China.
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