Trichosporon Infections Follow-up

Updated: Jan 16, 2015
  • Author: Ryan C Maves, MD, FACP, FCCP, FIDSA; Chief Editor: Mark R Wallace, MD, FACP, FIDSA  more...
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Follow-up

Further Inpatient Care

Patients with trichosporonosis should be monitored carefully, preferably in the ICU, until recovery of an adequate neutrophil count. Continue active antifungal therapy during the period of neutropenia and after recovery of neutrophil count until the resolution of symptoms.

Monitor blood cultures, urine cultures, and cutaneous or ocular lesions, along with renal and hepatic panel blood chemistries.

CT scanning of the abdomen and pelvis is indicated in most patients for initial evaluation and should be periodically repeated to monitor the progress of disease. For example, the lesions of hepatosplenic disease may become visible only after recovery of neutrophils.

The patient should remain on therapy until clinically stable and afebrile with the resolution of all visceral lesions.

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Prognosis

The prognosis of acute disseminated Trichosporon infection is poor, unless recovery of neutrophils occurs.

The prognosis of indolent or localized infection is better than that of disseminated disease.

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