Microbiology
A fungus also called Trichosporon capitatum. Found in the environment and on the skin.
Epidemiologic Risks
Severe prolonged neutropenia.
In Europe, it is usually found in Southern, warmer, parts but may be coming north with warming (PubMed).
Syndromes
Fungemia in neutropenics, often with positive blood cultures (PubMed).
Treatment
Amphotericin B with flucytosine.
Maybe use voriconazole; it may have the best mic's (PubMed) (PubMed).
The paucity of cases makes definitive recommendations impossible.
Maybe half of the isolates are fluconazole-resistant and may be caspofungin resistant as well.
Notes
Last update: 05/05/18