Premier cas d’infection à Trichoderma longibrachiatum chez un transplanté rénal en Tunisie et revue de littérature

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Publiée Jan 22, 2010
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Vol. 88 No 1 (2010): Revue janv. 2010

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Sonia Trabelsi
Dorsaf Hariga
Samira Khaled

Résumé

Prérequis :Trichoderma est un champignon filamenteux, longtemps considéré comme un contaminant des cultures. Récemment, avec l’augmentation du nombre de patients à risque, il est décrit comme un pathogène émergent chez les sujets immunodéprimés. Trichoderma longibrachiatum est l'espèce la plus fréquemment impliquée dans les infections à Trichoderma.
But : Nous rapportons le premier cas tunisien d’une infection cutanée à Trichoderma longibrachiatum
Observation : Il s’agit d’un homme, âgé de 46 ans, transplanté rénal. Le champignon a été isolé à partir d’un abcès inguinal et, également de la biopsie cutanée. L'identification de l’espèce a bénéficié d'une approche moléculaire. Les tests de sensibilité du champignon aux antifongiques réalisée selon la méthode standardiisée du Comité Européen a révélé que l'organisme était résistant à l'itraconazole, intermédiaire à l'amphotéricine B et sensible au voriconazole, au
posaconazole et à la caspofungine. L’infection a bien évolué sous voriconazole.

Mots-clés :

Trichoderma longibrachiatum, Transplantation rénale, Tunisie, Infection de la peau

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