Document Type
Article
Publication Date
2-15-2025
Publication Title
Cureus
Abstract
A 47-year-old male with a history of immunosuppression and recent intensive care unit admission presented with progressive orbital swelling and pain. Blood cultures grew Trichosporon asahii and Candida guilliermondii, with matching positive cultures from peripheral and central venous samples. Given his fungemia and worsening orbital involvement, induction therapy with amphotericin B and isavuconazole was initiated. Within weeks, clinical improvement was noted, prompting a transition to long-term consolidation therapy with oral posaconazole and isavuconazole. At follow-up, the patient demonstrated sustained clinical stability with no recurrence of infection. Orbital involvement from fungemia due to T. asahii and C. guilliermondii is rare, and management requires early recognition, aggressive antifungal therapy, and careful monitoring.
First Page
e79062
PubMed ID
40104453
Volume
17
Issue
2
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
Morcos, David; Hardy, Kevin; Makovec, Anthony; Schill, Morgan; and Foxworth, John, "Trichosporon asahii and Candida guilliermondii as a Source of Orbital Infection in an Immunocompromised Individual" (2025). School of Medicine Faculty Publications. 3660.
https://digitalscholar.lsuhsc.edu/som_facpubs/3660
10.7759/cureus.79062
Included in
Bacterial Infections and Mycoses Commons, Surgical Procedures, Operative Commons, Therapeutics Commons