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Peer-reviewedCC BYMedical Mycology Case Reports

Hospital-at-Home management of

4 affiliations
  1. 1Department of Internal Medicine, Hospital Universitario de La Princesa, Madrid, Spain.
  2. 2Department of Microbiology, Hospital Universitario de La Princesa, Madrid, Spain.
  3. 3Department of Cardiology, Hospital Universitario de La Princesa, Madrid, Spain.
  4. 4PhD Programme in Medicine and Surgery, Universidad Autonoma de Madrid, Madrid, Spain.

Abstract

Wickerhamiella pararugosa , a rare cause of bloodstream infection, was identified in an 87-year-old woman admitted to a Hospital-at-Home unit for a complicated urinary tract infection, without a central venous catheter. Empirical micafungin was switched to rezafungin, a long-acting echinocandin, enabling HaH-based completion of therapy. Work-up revealed Takotsubo syndrome, managed without disrupting antifungal treatment. This is the first reported HaH management of this species and the first use of rezafungin for W. pararugosa infection.

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BibTeX
@article{gomara2026hospitalathome,
  title = {{Hospital-at-Home management of}},
  author = {Inigo Vázquez Gomara and Javier Bernardo Perez-Serrano and Ma Auxiliadora Semiglia Chong and Lidia Vilches-Miguel and Diego Real de Asua Cruzat and Pablo Rodriguez-Cortes},
  journal = {Medical Mycology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.mmcr.2026.100827},
  url = {https://doi.org/10.1016/j.mmcr.2026.100827},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Hospital-at-Home management of
AU  - Inigo Vázquez Gomara
AU  - Javier Bernardo Perez-Serrano
AU  - Ma Auxiliadora Semiglia Chong
AU  - Lidia Vilches-Miguel
AU  - Diego Real de Asua Cruzat
AU  - Pablo Rodriguez-Cortes
PY  - 2026
DA  - 2026/10/05
JO  - Medical Mycology Case Reports
DO  - 10.1016/j.mmcr.2026.100827
UR  - https://doi.org/10.1016/j.mmcr.2026.100827
AB  - Wickerhamiella pararugosa , a rare cause of bloodstream infection, was identified in an 87-year-old woman admitted to a Hospital-at-Home unit for a complicated urinary tract infection, without a central venous catheter. Empirical micafungin was switched to rezafungin, a long-acting echinocandin, enabling HaH-based completion of therapy. Work-up revealed Takotsubo syndrome, managed without disrupting antifungal treatment. This is the first reported HaH management of this species and the first use of rezafungin for W. pararugosa infection.
SN  - 2211-7539
ER  -