Pythiosis: case report leading to new features in clinical and diagnostic management of this fungal-like infection.

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ID: 1917
2019
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Ranked #8 of 68 articles by views in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases

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Abstract
A 21-year-old man developed an infectious keratitis after swimming in Spain whilst wearing contact lenses. Mycelial growth from a corneal sample suggested keratomycosis but a drastic worsening of the patient's condition was observed on antifungal drugs. At day 38, the Pan-fungal PCR identified P. insidiosum, which is an aquatic organism belonging to the oomycete family. Based on recent literature, our patient was promptly prescribed systemic and local antibiotic regimen and cure was ultimately achieved. In order to facilitate P. insidiosum identification in future cases, we have generated the first MALDI-TOF MS reference spectrum for Pythium insidiosum. This MALDI-TOF-MS reference spectrum is planned to be deposited on an open-access-platform and should allow immediate identification of the pathogen. Finally, this case report also demonstrates that P. insidiosum is emerging outside tropical and subtropical areas. Clinicians and microbiologists should have better knowledge to accurately manage and diagnose this sight-threatening infection.
Reference Key
bernheim2019pythiosisinternational Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Bernheim, Diane;Dupont, Damien;Aptel, Florent;Dard, Celine;Chiquet, Christophe;Normand, Anne Cécile;Piarroux, Renaud;Cornet, Muriel;Maubon, Danièle;
Journal International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases
Year 2019
DOI
S1201-9712(19)30256-5
URL
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