M. Miyazaki et al., Systemic fusariosis after a preparative regimen including thiotepa, VP-16 and busulfan used for blood stem cell transplantation in Hodgkin's disease, LEUK LYMPH, 40(3-4), 2001, pp. 441-444
Fusarium infection is rare but important infection after bone marrow transp
lantation (BMT). A 27-year-old man developed systemic fusarial infection fo
llowing severe skin damage prob abl; caused by high-doss thiotepa administr
ation. Systemic fusariosis rapidly progressed to a variety of organs despit
e antifungal treatment, and he finally died of this infection on day 75. Co
nsidering that this organism usually invades via damaged skin and that the
penile lesion was the first manifestation of systemic fusariosis in this pa
tient. careful examination of the skin might be helpful for early diagnosis
of fusarial infection. His clinical course provided us with an important c
lue for diagnosis of fusarial infection.