Journal
PEDIATRIC DERMATOLOGY
Volume 40, Issue 3, Pages 503-506Publisher
WILEY
DOI: 10.1111/pde.15179
Keywords
drug eruptions; fusariosis; invasive fungal infections; leukemia
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Fusarium is a plant pathogen that can cause opportunistic human infections. Treatment is challenging, and antifungal susceptibility testing is essential. Early suspicion, isolation of the organism, and prompt treatment are crucial for recovery.
Fusarium is a polyphyletic genus of plant pathogens, members of which can cause opportunistic human infections with varying superficial and systemic presentations, including disseminated infections which typically occur in immunocompromised patients and have a poor prognosis. Treatment is challenging due to intrinsic resistance to many antifungal agents, and antifungal susceptibility testing is therefore essential. Early suspicion, isolation of the organism, and prompt initiation of management are crucial to improving survival. We present a case of disseminated Bisifusarium infection following toxic epidermal necrolysis in a child with B-cell acute lymphoblastic leukemia, successfully treated with liposomal amphotericin B, voriconazole, flucytosine, and terbinafine.
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