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Aust N Z J Med. 1987 Dec;17(6):603-4.

Malassezia furfur fungemia as a treatable cause of obscure fever in a leukemia patient receiving parenteral nutrition.

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Royal Prince Alfred Hospital, NSW.


We describe a 46-year-old man with acute non-lymphocytic leukemia (ANLL) and Crohn's disease who, while receiving total parenteral nutrition (TPN), developed a protracted febrile illness with thrombocytopenia, pulmonary infiltrates and jaundice. Malassezia furfur, a lipophilic fungus, was identified from blood culture on lipid-enriched media. The patient improved rapidly with cessation of TPN and removal of his central venous catheter. M. furfur may cause a severe illness in immunosuppressed patients receiving TPN.

[Indexed for MEDLINE]

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