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J Med Microbiol 52 (2003), 835-837; DOI: 10.1099/jmm.0.05140-0
© 2003 Society for General Microbiology
ISSN 0022-2615

Fatal disseminated Acremonium strictum infection in a preterm newborn: a very rare cause of neonatal septicaemia

Mehmet Yalaz1, Suleyha Hilmioglu2, Dilek Metin2, Mete Akisu1, Deniz Nart3, Hasan Cetin1, Cengiz Ozturk1, Ecmel Isik3 and Nilgun Kultursay1

Division of Neonatology, Department of Pediatrics1, Department of Microbiology and Clinical Microbiology2 and Department of Pathology3, Ege University Faculty of Medicine, Izmir, Turkey

Correspondence Mete Akisu makisu{at}med.ege.edu.tr

Received December 2, 2002
Accepted April 29, 2003

Species of the genus Acremonium (Cephalosporium) are opportunistic micro-organisms that are environmentally widespread saprophytes in soil and can, very rarely, be pathogenic in humans. Disseminated infection has been described in patients with immunodeficiency, but has previously been reported in only one neonate. A preterm infant with Acremonium strictum fungaemia is reported here. The patient was born at 27 weeks gestation and weighed 870 g at birth. She needed intensive respiratory management and became septic on day 11 of life. Blood and cerebrospinal fluid (CSF) cultures were positive for A. strictum. The patient did not respond to therapy with amphotericin B plus fluconazole and died on day 25 of life. The autopsy showed foci due to A. strictum in the brain, liver and heart.

Abbreviations: CSF, cerebrospinal fluid; RDS, respiratory distress syndrome.

A photograph showing A. strictum colonies from haemoculture is available as supplementary material in JMM Online.






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