XXXX in neonates and adults: complication of hyperalimentation.

@entity1 @entity1212 @entity295 @entity882 @entity281 @entity1292 @entity375 @entity221 @entity12045
Until recently, Malassezia furfur was thought to be a pathogen only in tinea versicolor. More recently, this lipophilic @entity375 has been recovered from sick neonates with @entity1212 . @entity12045 was studied in seven @entity1 , and the salient features of this @entity281 in @entity1 described in the literature were reviewed. Major risk factors include prolonged hospitalization, the presence of central venous catheters, and the use of intravenous fat emulsions. It is difficult to identify specific manifestations of @entity12045 in these complex cases occurring in @entity1 with severe underlying disease; however, neonates often present with the signs and symptoms of @entity295 and @entity882 , whereas @entity221 may be the only manifestation in adults. Some @entity1 are asymptomatic. When symptoms are present, they resolve upon removal of the colonized catheter. The role of the lipophilic nature of Malassezia in the pathogenesis of @entity281 is apparent from the ability of intravenous fat emulsions to support the growth of the fungus in vitro. A special solid medium that can be used to determine the true prevalence of @entity12045 has been devised. M. furfur must be considered in the differential diagnosis of @entity1292 in @entity1 receiving central hyperalimentation and should be sought by the culture of blood on appropriate medium.
