期刊
TRANSPLANT INFECTIOUS DISEASE
卷 9, 期 1, 页码 51-54出版社
BLACKWELL PUBLISHING
DOI: 10.1111/j.1399-3062.2006.00159.x
关键词
Acanthamoeba; granulomatous dermatitis; lung transplant; amphotericin B; voriconazole
Acanthamoeba species are known to cause 2 well-described entities: (1) granulomatous amoebic encephalitis (GAE), which usually affects immunocompromised hosts, and (2) keratitis, which typically follows trauma associated with contamination of water or contact lenses. Less common manifestations include pneumonitis and a subacute granulomatous dermatitis. We describe a case of granulomatous dermatitis secondary to Acanthamoeba infection in a lung transplant recipient and a successful outcome following treatment with lipid formulation of amphotericin B and voriconazole. We believe this is the second case report describing disseminated Acanthamoeba infection in a lung transplant recipient. We also describe successful outcome with a combination of lipid formulation of amphotericin B and voriconazole, drugs that have not been previously reported to treat Acanthamoeba.
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