Infection with Trichosporon pullulans

Excerpt

To the editor: Invasive infections with Trichosporon beigelii (also called cutaneum) or T. capitatum are being reported with increasing frequency (1, 2). We describe the first human infection with a related organism, T. pullulans, and report the invitro susceptibilities of this organism to treatment with amphotericin B, flucytosine, and miconazole.

A 56-year-old white man was hospitalized for an infection in the left second toe. He had had a renal transplant 1 year previously, which was complicated by diabetes mellitus. Treatments included cyclosporine, azathioprine, and methylprednisolone. He had toe pain, swelling, erythema, and drainage for 4 weeks before admission, with a