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Chinese Journal of Mycology 2023, Vol. 18  Issue (3): 246-249,253.

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Bloodstream infection caused by Prototheca wickerhamii:a case report and review of the literatures

ZHANG Xu, LI Chen, PAN Juan, LI Zuyi, NIE Ge   

  1. Liuyang Hospital of Traditional Chinese Medicine, Liuyang Hunan 410300, China
  • Received:2022-09-08 Online:2023-06-28 Published:2023-07-08

Abstract: A 44-year-old male farmer presented with erythematous plaques of the whole body, diffusely infiltrated erosions on his left leg and fever. Smooth, creamy-white, yeast-like colonies grew from skin biopsy specimen and blood specimen after 72 h of incubation. Electron microscopy demonstrated 'morula' or daisy-like appearance of its endosporulating sporangia. These findings were consistent with a diagnosis of protothecosis. The patient was treated with fluconazole and itraconazole but finally died. This case and the literature review will increase the knowledge of this pathogen.

Key words: Prototheca wickerhamii, bloodstream infection, cutaneous protothecosis

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