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Risk factors for ophthalmologic involvement and ocular findings in patients diagnosed with fungemia in a high-complexity hospital in the city of Medellín, Colombia / Luis Fernando Velásquez Ossa ; Jorge Hernando Donado Gómez ; Laura Nataly Higuita Duque
Título : Risk factors for ophthalmologic involvement and ocular findings in patients diagnosed with fungemia in a high-complexity hospital in the city of Medellín, Colombia Tipo de documento : documento electrónico Autores : Luis Fernando Velásquez Ossa, ; Jorge Hernando Donado Gómez, ; Laura Nataly Higuita Duque, Fecha de publicación : 2022 Títulos uniformes : Annals of Medicine Idioma : Inglés (eng) Palabras clave : Fundus Oculi Fungemia candida retina Resumen : Purpose: To describe the demographic clinical characteristics and to identify the risk factors of patients diagnosed with fungemia and secondary intraocular involvement. Methods: Retrospective cohort of 97 patients diagnosed with fungemia and with or without involvement of the posterior segment. Demographic, clinical and ophthalmological variables were identified to establish the risk of retinal seeding. Results: An incidence of ocular involvement of 22.68% was obtained and no clear risk factor was found for subsequent showings in patients with fungemia. A risk trend was only found in patients with diabetes with an OR: 2.85; CI 95%: (0.80-10.12) and history of HIV with an OR: 2.29 CI95%: (0.85-6.12). Conclusions: In this first cohort carried out in Colombia according to our search, findings were obtained that agree with those of other authors worldwide, where there is no evidence of a decrease in incidence compared with older studies and the absence of risk factors for the compromise of the posterior pole in patients with fungemia.KEY MESSAGES Systematic fundus evaluation by an ophthalmologist in patients with candidaemia is a recommended practice based on low-quality evidence.The identification of real risk factors for retinal compromise in fungemia would allow us to be more selective with the population to be evaluated.Fungemia generally occurs in critically ill patients, where access and availability of ophthalmology evaluation are a resource that is not always available. Mención de responsabilidad : Marcos Restrepo Arango, Juan Camilo Cadavid Usuga, Luis Fernando Velazquez Ossa, Jorge Hernando Donado Gómez, Laura Nataly Higuita Duque, Juan Pedro Neira Gomez Referencia : Ann Med. 2022 Dec;54(1):2204-2210. DOI (Digital Object Identifier) : 10.1080/07853890.2022.2107700 Derechos de uso : CC BY En línea : https://www.tandfonline.com/doi/full/10.1080/07853890.2022.2107700 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=6050 Risk factors for ophthalmologic involvement and ocular findings in patients diagnosed with fungemia in a high-complexity hospital in the city of Medellín, Colombia [documento electrónico] / Luis Fernando Velásquez Ossa, ; Jorge Hernando Donado Gómez, ; Laura Nataly Higuita Duque, . - 2022.
Obra : Annals of Medicine
Idioma : Inglés (eng)
Palabras clave : Fundus Oculi Fungemia candida retina Resumen : Purpose: To describe the demographic clinical characteristics and to identify the risk factors of patients diagnosed with fungemia and secondary intraocular involvement. Methods: Retrospective cohort of 97 patients diagnosed with fungemia and with or without involvement of the posterior segment. Demographic, clinical and ophthalmological variables were identified to establish the risk of retinal seeding. Results: An incidence of ocular involvement of 22.68% was obtained and no clear risk factor was found for subsequent showings in patients with fungemia. A risk trend was only found in patients with diabetes with an OR: 2.85; CI 95%: (0.80-10.12) and history of HIV with an OR: 2.29 CI95%: (0.85-6.12). Conclusions: In this first cohort carried out in Colombia according to our search, findings were obtained that agree with those of other authors worldwide, where there is no evidence of a decrease in incidence compared with older studies and the absence of risk factors for the compromise of the posterior pole in patients with fungemia.KEY MESSAGES Systematic fundus evaluation by an ophthalmologist in patients with candidaemia is a recommended practice based on low-quality evidence.The identification of real risk factors for retinal compromise in fungemia would allow us to be more selective with the population to be evaluated.Fungemia generally occurs in critically ill patients, where access and availability of ophthalmology evaluation are a resource that is not always available. Mención de responsabilidad : Marcos Restrepo Arango, Juan Camilo Cadavid Usuga, Luis Fernando Velazquez Ossa, Jorge Hernando Donado Gómez, Laura Nataly Higuita Duque, Juan Pedro Neira Gomez Referencia : Ann Med. 2022 Dec;54(1):2204-2210. DOI (Digital Object Identifier) : 10.1080/07853890.2022.2107700 Derechos de uso : CC BY En línea : https://www.tandfonline.com/doi/full/10.1080/07853890.2022.2107700 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=6050 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001894 AC-2022-058 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
AC-2022-058Adobe Acrobat PDF Fatal disseminated infection by Trichosporon asahii under voriconazole therapy in a patient with acute myeloid leukemia: a review of breakthrough infections by Trichosporon spp / Isabel Cristina Ramírez Sánchez
Título : Fatal disseminated infection by Trichosporon asahii under voriconazole therapy in a patient with acute myeloid leukemia: a review of breakthrough infections by Trichosporon spp Tipo de documento : documento electrónico Autores : Isabel Cristina Ramírez Sánchez, Fecha de publicación : 2020 Títulos uniformes : Mycopathologia Idioma : Inglés (eng) Palabras clave : Antifungal Breakthrough Fungemia Trichosporon asahii Trichosporonosis Yeast Resumen : Introduction: Cases of invasive Trichosporon infections have increasingly emerged; it is now the second leading cause of yeast bloodstream infections after Candida spp., particularly in the immunosuppressed population, where it often causes breakthrough fungemia with high mortality. Methods: We present a case report of a breakthrough Trichosporon asahii infection in a patient with acute myeloid leukemia and review all of the cases of breakthrough Trichosporon spp. infections published in the literature to date. Results: We extracted 68 cases of breakthrough Trichosporon spp. infections, wherein 95.5% patients had hematological malignancy, 61.8% of them occurred in the presence of echinocandins, 22% of triazoles, 13.2% of amphotericin and 3% of other combinations of antifungals. The most prevalent manifestation was fungemia (94%); 82.8% of these were associated with the presence of a central venous catheter. The overall mortality was 68.7%; the patients who survived recovered from the neutropenic event. Conclusions: Invasive trichosporonosis is an acute fatal condition that occurs in immunosuppressed patients, usually under antifungal selective pressure. Typically, neutropenia and its underlying diseases are associated with adverse outcomes. Mención de responsabilidad : I Ramírez, D Moncada Referencia : Mycopathologia. 2020 Apr;185(2):377-388. DOI (Digital Object Identifier) : 10.1007/s11046-019-00416-w PMID : 31853871 En línea : http://link.springer.com/10.1007/s11046-019-00416-w Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5078 Fatal disseminated infection by Trichosporon asahii under voriconazole therapy in a patient with acute myeloid leukemia: a review of breakthrough infections by Trichosporon spp [documento electrónico] / Isabel Cristina Ramírez Sánchez, . - 2020.
Obra : Mycopathologia
Idioma : Inglés (eng)
Palabras clave : Antifungal Breakthrough Fungemia Trichosporon asahii Trichosporonosis Yeast Resumen : Introduction: Cases of invasive Trichosporon infections have increasingly emerged; it is now the second leading cause of yeast bloodstream infections after Candida spp., particularly in the immunosuppressed population, where it often causes breakthrough fungemia with high mortality. Methods: We present a case report of a breakthrough Trichosporon asahii infection in a patient with acute myeloid leukemia and review all of the cases of breakthrough Trichosporon spp. infections published in the literature to date. Results: We extracted 68 cases of breakthrough Trichosporon spp. infections, wherein 95.5% patients had hematological malignancy, 61.8% of them occurred in the presence of echinocandins, 22% of triazoles, 13.2% of amphotericin and 3% of other combinations of antifungals. The most prevalent manifestation was fungemia (94%); 82.8% of these were associated with the presence of a central venous catheter. The overall mortality was 68.7%; the patients who survived recovered from the neutropenic event. Conclusions: Invasive trichosporonosis is an acute fatal condition that occurs in immunosuppressed patients, usually under antifungal selective pressure. Typically, neutropenia and its underlying diseases are associated with adverse outcomes. Mención de responsabilidad : I Ramírez, D Moncada Referencia : Mycopathologia. 2020 Apr;185(2):377-388. DOI (Digital Object Identifier) : 10.1007/s11046-019-00416-w PMID : 31853871 En línea : http://link.springer.com/10.1007/s11046-019-00416-w Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5078 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001308 AC-2020-012 Archivo digital Producción Científica Artículos científicos Disponible Fungemia due to Kodamaea ohmeri in a young infant and review of the literature / María Isabel Múnera Jaramillo ; Mónica Rosa Trujillo Honeysberg ; Andrea Victoria Restrepo Gouzy ; Carlos Guillermo Garcés Samudio
Título : Fungemia due to Kodamaea ohmeri in a young infant and review of the literature Tipo de documento : documento electrónico Autores : María Isabel Múnera Jaramillo, ; Mónica Rosa Trujillo Honeysberg, ; Andrea Victoria Restrepo Gouzy, ; Carlos Guillermo Garcés Samudio, Fecha de publicación : 2016 Títulos uniformes : Medical Mycology Case Reports Idioma : Inglés (eng) Palabras clave : Kodamaea ohmeri fungemia infant yeast liposomal amphotericin B Resumen : Fungal infections have become an important cause of morbidity and mortality in hospitalized children due to many complicating and underlying conditions. We present the case of a newborn infant with fungemia due to Kodamaea ohmeri who had a good outcome of the infection after using the combination of antifungal treatment and central venous catheter removal. Mención de responsabilidad : Rosalba Vivas, Claudia Beltran, Maria Isabel Munera, Monica Trujillo, Andrea Restrepo, Carlos Garcés Referencia : Med Mycol Case Rep. 2016 Jun 20;13:5-8. DOI (Digital Object Identifier) : 10.1016/j.mmcr.2016.06.001 PMID : 27630816 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S2211753916300355 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3975 Fungemia due to Kodamaea ohmeri in a young infant and review of the literature [documento electrónico] / María Isabel Múnera Jaramillo, ; Mónica Rosa Trujillo Honeysberg, ; Andrea Victoria Restrepo Gouzy, ; Carlos Guillermo Garcés Samudio, . - 2016.
Obra : Medical Mycology Case Reports
Idioma : Inglés (eng)
Palabras clave : Kodamaea ohmeri fungemia infant yeast liposomal amphotericin B Resumen : Fungal infections have become an important cause of morbidity and mortality in hospitalized children due to many complicating and underlying conditions. We present the case of a newborn infant with fungemia due to Kodamaea ohmeri who had a good outcome of the infection after using the combination of antifungal treatment and central venous catheter removal. Mención de responsabilidad : Rosalba Vivas, Claudia Beltran, Maria Isabel Munera, Monica Trujillo, Andrea Restrepo, Carlos Garcés Referencia : Med Mycol Case Rep. 2016 Jun 20;13:5-8. DOI (Digital Object Identifier) : 10.1016/j.mmcr.2016.06.001 PMID : 27630816 Derechos de uso : CC BY-NC-ND En línea : https://linkinghub.elsevier.com/retrieve/pii/S2211753916300355 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=3975 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD000566 AC-2016-041 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2016-041.pdfAdobe Acrobat PDF