Abstract

Infection vvith Trichosporon asahii is a majör cause of deep-seated and disseminated trichosporonosis, that have a very poor prognosis in patients vvith persistent neutropenia. We report a 20-year-oid girl vvith acute myeloid leukemia who developed disseminated Trichosporon asahii infection. Antifungal susceptibility vvas determined. No clinical improvement vvas seen despite the use of voriconazole and voriconazole plus liposomal amphotericin-B combination treatment, contrarity multiple hepatic and splenic lesions vvere seen under antifungal therapy. Bone marrow aspiration shovved that acute myeloid leukemia vvas on remission. İn this case it vvas concluded that voriconazole treatment may not be useful in the treatment of disseminated Trichosporon asahii infection and best treatment modaiity of Trichosporon asahii stili remains controversial.