Malassezia infections with systemic involvement: Figures and facts. Issue 11 (28th September 2018)

• Record Type: Journal Article
• Authors: Pedrosa, Ana Filipa; Lisboa, Carmen; Rodrigues, Acácio Gonçalves
• Is Part Of: Journal of dermatology. Volume 45:Issue 11(2018)
• Page Start: 1278
• Page End: 1282
• Publication Date: 2018-09-28
• Subjects: antifungal therapy -- fungemia -- Malassezia -- medical indwelling devices -- pityriasis versicolor; Dermatology -- Periodicals; Dermatology -- Japan -- Periodicals; Skin -- Diseases -- Periodicals; 616.5005
• DOI: 10.1111/1346-8138.14653
• Languages: English
• ISSNs: 0385-2407

Abstract

Abstract: Malassezia are lipophilic and commensal yeasts capable of inducing skin disease among susceptible hosts. However, severely immunocompromised patients and preterm infants admitted to intensive care units are particularly at risk of developing Malassezia systemic infections. Patients often have central venous catheters which are usually the portal of entry for colonization and infection. In addition to the clinically non‐specific findings, a delay in the laboratorial diagnosis may occur as there is often the need to add lipid supplementation to culture in order to support these organisms' growth. Herein, we report three unrelated cases of Malassezia bloodstream infection at a university hospital during a 2‐year period, followed by a discussion of the clinical results and comparison with the most recently available published data on epidemiology and risk factors, pathogenesis, diagnosis, susceptibility profile and treatment.