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Risk factors and mortality in invasive Rasamsonia spp. infection: Analysis of cases in the FungiScope registry and from the literature

Mycoses Dec 05, 2019

Stemler J, Salmanton-García J, Seidel D, et al. - Via involving cases of invasive infection due to Rasamsonia spp. (formerly Geosmithia/Penicillium spp.) from FungiScope registry and all reported cases from the literature, researchers sought to present a knowledge base of risk factors and therapeutic decisions in invasive Rasamsonia spp. complex infection. Twenty-three invasive infections were identified due to Rasamsonia spp., six (26.1%) in the FungiScope registry. Chronic granulomatous disease, immunosuppressive treatment, haematopoietic stem cell transplantation, graft-versus-host disease, and major surgery were the main risk factors. According to findings, Rasamsonia spp. are emerging fungi causing life-threatening infections, particularly in immunocompromised and critically ill individuals. Data reported that the overall mortality rate was 39%. No preferable treatment has been identified that influences a favorable outcome. Treatment is difficult and physicians working with this patient population should be aware of a medical emergency of this infection.
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