Geotrichum capitatum septicemia in neutropenic patient, case report and review

Abstract Geotrichum capitatum septicemias are rare, occurring exclusively in immunocompromised patients. We report a case of a 55-year-old man with acute myeloid leukemia who developed a G. capitatum septicemia with lung and skin lesions in the post chemotherapy aplasic phase. Treatment with amphotericin B (cumulative dose of 2 g) and maintenance with itraconazole resolved the clinical and radiological manifestations and controlled reactivation of the infection during the subsequent courses of cytotoxic chemotherapy. The emerging role of G. capitatum as an opportunistic agent in immunocompromised patient is stressed.