Abstract
A 47-year-old man with acquired immune deficiency syndrome was found to have disseminatedSaccharomyces kluyveri infection. The yeast was isolated from blood and cerebrospinal fluid. An autopsy revealed the presence of the microorganism in many organs including liver, kidneys, pancreas, spleen, lung, and brain. The case confirms a potential pathogenicity of yeasts of the genusSaccharomyces in patients with profound immune deficiency, especially in advanced HIV infection.
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Curry, C. R., Quie, P. G.: Fungal septicemia in patients receiving parenteral hyperalimentation. N. Engl. J. Med 285 (1971) 1221–1225.
Kiehn, T. E., Edwards, F. F., Armstrong, D.: The prevalence of yeasts in clinical specimens from cancer patients. Am. J. Clin. Pathol. 73 (1980) 518–521.
Krčméry, V. Jr.,Kunova, A., Mardiak, J.: NosocomialCryptococcus laurentii fungemia in a bone marrow transplant patient after prophylaxis with ketoconazole successfully treated with oral fluconazole. Infection 25 (1997) 130.
Louria, D. B., Blevins, A., Armstrong, D., Burdick, R., Lieberman, P.: Fungemia caused by “nonpathogenic” yeasts. Arch. Intern. Med. 119 (1967) 247–252.
Meunier-Carpentier, F., Kiehn, T. E., Armstrong, D.: Fungemia in the immunocompromised host—changing patterns, antigenemia, high mortality. Am. J. Med. 71 (1981) 363–370.
Eng, R. H., Drehmel, R., Smith, S. M., Goldstein, E. J.:Saccharomyces cerevisiae infections in man. Sabouraudia 22 (1984) 403–407.
Eschete, M. L., West, B. C.:Saccharomyces cerevisiae septicemia. Arch. Intern. Med. 140 (1980) 1539.
Oriol, A., Ribera, J.-M., Arnal, J., Milla, F., Battle, M., Feliu, E.:Saccharomyces cerevisiae septicemia in a patient with myelodysplastic syndrome. Am. J. Hematol. 43 (1993) 325–326.
de Hoog, G. S., Guarro, J.: Endomycetous yeasts. GenusSaccharomyces. In: Atlas of clinical fungi. Centraalbureau voor Schimmelcultures. Baarn and Delft, The Netherlands/Universitat Rovira i Virgili, Reus, Spain 1995, p. 238.
Caumont, A. B., Jamieson, G. A., Pichuantes, S., Nguyen, A. T., Litvak, S., Dupont, C.: Expression of functional HIV-1 integrase in the yeastSaccharomyces cerevisiae leads to the emergence of a lethal phenotype: potential use for inhibitor screening. Curr. Genet. 29 (1996) 503–510.
Cairoli, R., Marenco, P., Perego, R., de Catalgo, F.:Saccharomyces cerevisiae fungemia with granulomas in the bone marrow in a patient undergoing BMT. Bone Marrow Transplant. 15 (1995) 785–786.
Chertow, G. M., Marcantonio, E. R., Wells, R. G.:Saccharomyces cerevisiae empyema in a patient with esophago-pleural fistula complicating variceal sclerotherapy. Chest 99 (1991) 1518–1519.
Cimolai, N., Gill, M. J., Church, D.:Saccharomyces cerevisiae fungemia: case report and review of the literature. Diagn. Microbiol. Infect. Dis. 8 (1987) 113–117.
Dougherty, S. H., Simmons, R. L.: Postoperative peritonitis caused bySaccharomyces cerevisiae. Arch. Surg. 117 (1982) 248–249.
Feld, R., Fornasier, V. L., Bombardier, C., Hastings, D. E.: Septic arthritis due toSaccharomyces species in a patient with chronic rheumatoid arthritis. J. Rheumatol. 9 (1982) 627–640.
Rubinstein, E., Noriega, E. R., Simberkoff, M. S., Holzman, R., Rahal, J. J. Jr.: Fungal endocarditis: analysis of 24 cases and review of the literature. Medicine 54 (1975) 331–334.
Stein, P. D., Folkens, A. T., Hruska, K. A.:Saccharomyces fungemia. Chest 58 (1970) 173–175.
Jensen, D. P., Smith, D. L.: Fever of unknown origin secondary to brewer’s yeast ingestion. Arch. Intern. Med. 136 (1976) 332–333.
Wilson, J. D., Jones, B. M., Kinghorn, G. R.: Bread-making as a source of vaginal infection withSaccharomyces cerevisiae. Report of a case in a woman and apparent transmission to her partner. Sex. Transm. Dis. 15 (1988) 35–36.
Sethi, N., Mandell, W.:Saccharomyces fungemia in a patient with AIDS. N. Y. State J. Med. 88 (1988) 278–279.
Tawpik, O. W., Papasian, C. J., Dixon, A. Y., Potter, L. M.:Saccharomyces cerevisiae pneumonia in a patient with acquired immune deficiency syndrome. J. Clin. Microbiol. 27 (1989) 1689–1691.
Barnett, J. A., Payne, R. W., Yarrow, D.: Description of the species:Saccharomyces kluyveri. In: Yeasts—characteristics and identification (2nd ed.). Cambridge University Press, Cambridge 1990, p. 600.
Pletincx, M., Legein, J., Vandenplas, Y.: Fungemia withSaccharomyces boulardii in a 1-year-old girl with protracted diarrhea. J. Pediatr. Gastroenterol. Nutr. 21 (1995) 113–115.
Reiersol, S., Hoel, J.:Saccharomyces carlsbergensis, possibly a pathogen. Acta Pathol. Microbiol. Scand. 44 (1958) 313–318.
Zunic, P., Lacotte, J., Pegoix, M., Buteux, G., Leroy, G., Mosquet, B., Moulin, M.: Fongémie àSaccharomyces boulardii. A propos d’un cas. Thérapie 46 (1991) 498–499.
de Hoog, G. S., Guarro, J.: Deep mycoses. In: Atlas of clinical fungi. Centraalbureau voor schimmelcultures. Baarn and Delft, The Netherlands/Universitat Rovira i Virgili. Reus, Spain 1995, pp. 21–26.
Berg, R., Bernasconi, P., Fowler, D., Gautreaux, M.: Inhibition ofCandida albicans translocation from the gastrointestinal tract of mice by oral administration ofSaccharomyces boulardii. J. Infect. Dis. 168 (1993) 1314–1318.
Born, P., Lersch, C., Zimmerhackl., B., Classen, M.:Saccharomyces boulardii—Therapie HIV-assoziierter Durchfälle. Dtsch. Med. Wochenschr. 118 (1993) 765.
Krause, W., Matheis, H., Wulf, K.: Fungaemia and funguria after oral administration ofCandida albicans. Lancet i (1969) 598–599.
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Pynka, M., Wnuk, A., Bander, D. et al. Disseminated infection withSaccharomyces kluyveri in a patient with AIDS. Infection 26, 184–186 (1998). https://doi.org/10.1007/BF02771850
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DOI: https://doi.org/10.1007/BF02771850