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A Case of Pichia ohmeri Fungemia Related to the Central Venous Catheter
Jin Han Lee, M.D., Choon Kwan Kim, M.D., Hu Seok Lee, M.D., Jin Su Kim, M.D. Min Jung Kim, M.D., Oh Young Chung, M.D., Jong Ryul Kim, M.D., Mi Jin So, M.D. Buyng Ju Na, M.D., Yong Kyun Cho, M.D., Kuyi Rae Lee, M.D. Myung Hee Lee, M.D.* and Young Ho Rho, M.D.
Department of Internal Medicine, Clinical Pathology*, Korea Veterans Hospital, Seoul, Korea
Vol.32 Num.3 (p252~255)
Pichia ohmeri is a very rare pathogen of human infection. To date, two cases of P. ohmeri infection were reported worldwide. We have experienced a case of catheter-related P. ohmeri fungemia.
The patient had been admitted due to cerebrovascular accident in rehabilitation center since August 1998. He had been bedridden due to previous cerebrovascular accident and undergone several episodes of nosocomial infection. Multiple antimicrobial agents had been used with central venous catheter for parenteral nutrition. On February 1999, he had developed fever and dyspnea. Vancomycin and imipenem were administered empirically and central venous catheter was removed on the impression of central venous catheter related infection. Blood culture and catheter tip culture grew P. ohmeri. He developed septic shock and finally led to death before the administration of amphotericin B.
Keywords : Pichia ohmeri, Fungemia, Catheter related infection