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Penicillium citrinum: Opportunistic pathogen or idle bystander? A case analysis with demonstration of galactomannan cross-reactivity.


ABSTRACT: We present a case of an immunocompromised woman with fever, pulmonary infiltrates and multiple bronchoalveolar lavage (BAL) cultures positive for Penicillium citrinum with a concomitant high BAL galactomannan level. We report the results of Aspergillus galactomannan testing performed on culture supernatants from her P. citrinum strain that confirmed the suspected cross-reactivity. Finally, we discuss the clinical significance and antifungal susceptibility of P. citrinum in our case and review the literature.

SUBMITTER: Hesse SE 

PROVIDER: S-EPMC5447564 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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<i>Penicillium citrinum</i>: Opportunistic pathogen or idle bystander? A case analysis with demonstration of galactomannan cross-reactivity.

Hesse Shayla E SE   Luethy Paul M PM   Beigel John H JH   Zelazny Adrian M AM  

Medical mycology case reports 20170522


We present a case of an immunocompromised woman with fever, pulmonary infiltrates and multiple bronchoalveolar lavage (BAL) cultures positive for <i>Penicillium citrinum</i> with a concomitant high BAL galactomannan level. We report the results of <i>Aspergillus</i> galactomannan testing performed on culture supernatants from her <i>P. citrinum</i> strain that confirmed the suspected cross-reactivity. Finally, we discuss the clinical significance and antifungal susceptibility of <i>P. citrinum</  ...[more]

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