Abstract

RODRIGUEZ, Diego Andrés  and  PINILLA, Adriana Patricia. Cryptococcus laurentii infection of central catheter in critically ill child: in regards to a case and literature review. Infect. [online]. 2012, vol.16, n.1, pp.72-74. ISSN 0123-9392.

Cryptococcosis is a fungal infection that predominantly affects patients with compromised cellular immunity. Cryptococcus neoformans is the most common pathogen of this class. Endovascular catheter-related infection is a rare entity described for Cryptococcus laurentii and, in exceptional cases, for C. neoformans. A case of a 3-month-old child with adenovirus acute bronchiolitis which lead to respiratory failure requiring inotropy and developing multiple infectious complications is presented. Cryptococcus laurentii was isolated in the culture from the tip of the central catheter, which could not be obtained in blood cultures. He was treated with amphotericin B in a cumulative dose of 10 mg/kg with negative control cultures. From a respiratory point of view, evolution was not good, with a failure from mechanical ventilation and posterior death.

Keywords : Cryptococcus laurentii; catheter related infections; children.

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