Journal
CLINICAL MICROBIOLOGY AND INFECTION
Volume 10, Issue 10, Pages 922-925Publisher
ELSEVIER SCI LTD
DOI: 10.1111/j.1469-0691.2004.00933.x
Keywords
blood cultures; cancer patients; emerging saprophytic moulds; fungaemia; Scedosporium spp.
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The significance of blood cultures positive for emerging saprophytic moulds (e.g., Scedosporium apiospermum, Scedosporium prolificans, Paecilomyces spp.) was evaluated in 30 cancer patients (1996-2002). Diagnostic criteria proposed previously for evaluation of aspergillaemia were used. Blood cultures positive for emerging saprophytic moulds represented 1% of all positive fungal cultures. One case of catheter-related fungaemia was excluded. The remaining 29 cases consisted of true (n = 5), probable (n = 1), indeterminate (n = 7) fungaemia, and contamination (n = 16). True fungaemia was seen only in leukaemia patients and allogeneic bone marrow transplant recipients. S. apiospermum and S. prolificans were the commonest causes of true fungaemia.
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