[Sinus infection caused by Exserohilum rostratum in a pediatric patient with acute myeloid leukemia].

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[Sinus infection caused by Exserohilum rostratum in a pediatric patient with acute myeloid leukemia].

Rev Chilena Infectol. 2020 Feb;37(1):77-81

Authors: Kral A, Batalla K, Santolaya ME, Rabello M, Barraza M

Abstract
The episodes of febrile neutropenia are severe cases that require an exhaustive etiological study and a quick start of antimicrobial agents. Within the possible microorganisms, fungal origins are also found, and depending on its tissue invasion, they can reach a high mortality rate. A case of a pediatric patient who suffered from acute myeloid leukemia is reported, and after his induction chemotherapy, the patient showed an episode of febrile neutropenia, which matches a rhinosinusal infection caused by Exserohilum rostratum, a filamentous fungi that is uncommonly associated with pathological cases. An antifungal therapy and an early surgical treatment were started, which lead to a positive response, without complications to the patient. After the monitoring and receiving secondary prophylaxis during the episodes of neutropenia, the patient hasn't presented new injuries nor rhinosinusal damage.

PMID: 32730404 [PubMed - in process]