J Oral Med Oral Surg
Volume 26, Number 2, 2020
|Number of page(s)||3|
|Section||Cas clinique et revue de la littérature / Up-to date review and case report|
|Published online||05 June 2020|
Up-to Date Review And Case Report
Saprochaete capitata oropharyngeal infection in a neutropenic patient: unusual presentation
Parasitology-Mycology Department of the Moulay Ismail Military Hospital, Meknes, Morocco
2 Microbiology Department of the Moulay Ismail Military Hospital, Meknes, Morocco
3 Hematology Department of the Moulay Ismail Military Hospital, Meknes, Morocco
* Correspondence: firstname.lastname@example.org
Accepted: 21 April 2020
Introduction: Saprochete capitata is unusual etiologic agent in immunocompromised patients, particularly in those with hematologic malignancy and severe neutropenia. Most often, infections of the oral cavity are manifested clinically as oral candidiasis. Invasive forms are rarely described. Observation: a 63-year-old man consulted for pseudomembranous lesions associated with ulcero perforating lesion of the tongue and palatal region ulcerations. All evolving in a context of profound physical deterioration and severe neutropenia. Mycological examination showed Saprochaete capitata. The evolution was favorable with oral voriconazole. Comment: Saprochaete capitata invasive fungal infections have become an important cause of morbidity and mortality, particularly in hematology-oncology patients. Invasive or non-invasive, oropharyngeal involvement with this pathogen should not be underestimated in the neutropenic patient. They are the main starting point for fongemia of this pathogen, which is often fatal. Conclusion: Saprochete capitata is now recognized emerging etiologic agent in patients with hematological malignancy and severe neutropenia. Early detection and diagnosis of these fungal infections could lead to reduced morbidity and mortality, particularly in locally invasive infection.
Key words: Saprochaete capitata / oral mycosis / Voriconazole
© The authors, 2020
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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