Micosis pulmonar por <i>Papiliotrema laurentii </i>posterior a infección por COVID-19: reporte de caso

Papiliotrema laurentii (formerly known as Cryptococcus laurentii) is an environmental saprophytic yeast that rarely causes disease in humans, mainly in immunosuppressed patients. We present a case of nosocomial pulmonary mycosis due to Papiliotrema laurentii in a 51-year-old male patient with a COVID-19 infection and a history of untreated type 2 diabetes mellitus. During his hospital stay, he received intravenous fluconazole for two weeks, with a favorable outcome. He was discharged with oral fluconazole for three months and follow-up in an outpatient clinic. One month after hospital discharge, he presented with cardiorespiratory arrest that did not respond to resuscitation maneuvers. The case highlights the importance of considering saprophytic species among the differential diagnoses of opportunistic mycoses.

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Journal
Revista Peruana de Medicina Experimental y Salud Pública
Published
2025-09-29
DOI
https://doi.org/10.17843/rpmesp.2025.423.14970
Primary Topic
Antifungal resistance and susceptibility
Type
article
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article

Micosis pulmonar por Papiliotrema laurentii posterior a infección por COVID-19: reporte de caso

Roger Antonio Sernaque Mechato, Josué M Flores-Espejo
Revista Peruana de Medicina Experimental y Salud Pública
Antifungal resistance and susceptibility
article

Micosis pulmonar por Papiliotrema laurentii posterior a infección por COVID-19: reporte de caso

Roger Antonio Sernaque Mechato, Josué M Flores-Espejo
article en

Abstract

Papiliotrema laurentii (formerly known as Cryptococcus laurentii) is an environmental saprophytic yeast that rarely causes disease in humans, mainly in immunosuppressed patients. We present a case of nosocomial pulmonary mycosis due to Papiliotrema laurentii in a 51-year-old male patient with a COVID-19 infection and a history of untreated type 2 diabetes mellitus. During his hospital stay, he received intravenous fluconazole for two weeks, with a favorable outcome. He was discharged with oral fluconazole for three months and follow-up in an outpatient clinic. One month after hospital discharge, he presented with cardiorespiratory arrest that did not respond to resuscitation maneuvers. The case highlights the importance of considering saprophytic species among the differential diagnoses of opportunistic mycoses.

Revista Peruana de Medicina Experimental y Salud PúblicaVol. 42(3)
University of Piura (PE), Santa Rosa Memorial Hospital (US)
Openalex Percentile: Top 66%
Antifungal resistance and susceptibility
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