{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T13:01:19Z","timestamp":1790773279640,"version":"4.1.0"},"reference-count":18,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,9,8]]},"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:p>\n                    A woman in her early 70s with a history of diabetes mellitus, hypertension and prior right mastectomy for breast carcinoma presented with community-acquired pneumonia (CAP), septic shock and multi-organ dysfunction syndrome. Despite empirical antibiotic therapy and supportive care, her condition worsened. Bronchoalveolar lavage and blood cultures revealed\n                    <jats:italic>Saprochaete capitata<\/jats:italic>\n                    , a rare opportunistic fungal pathogen. She was started on intravenous voriconazole, resulting in gradual clinical improvement. The patient was discharged in a stable condition after a prolonged hospital stay.\n                    <jats:italic>S. capitata<\/jats:italic>\n                    infections are uncommon but can cause life-threatening disease, particularly in immunocompromised hosts. This case highlights the need to consider rare fungal pathogens in patients with severe CAP who do not respond to standard antimicrobial therapy, especially in those with underlying malignancy or prior immunosuppression.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-268305","type":"journal-article","created":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:45:15Z","timestamp":1790772315000},"page":"e268305","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["<i>Saprochaete<\/i>\n                    pneumonia presenting as septic shock in an elderly patient with poorly controlled diabetes mellitus"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6971-1236","authenticated-orcid":false,"given":"Venkat Raman","family":"Kola","sequence":"first","affiliation":[{"name":"Critical Care Medicine, Yashoda Group of Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diddi","family":"Srikanth","sequence":"additional","affiliation":[{"name":"Department of Critical Care Medicine, Yashoda Hospital, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sudarshan Reddy","family":"Lingala","sequence":"additional","affiliation":[{"name":"General Medicine, Yashoda Group of Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratyusha","family":"Borugadda","sequence":"additional","affiliation":[{"name":"General Medicine, Yashoda Group of Hospitals, Hyderabad, Telangana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,9,30]]},"reference":[{"key":"2026093005450579000_19.9.e268305.1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.43.4.1818-1828.2005"},{"key":"2026093005450579000_19.9.e268305.2","doi-asserted-by":"publisher","DOI":"10.3201\/eid2007.140087"},{"key":"2026093005450579000_19.9.e268305.3","doi-asserted-by":"crossref","DOI":"10.1128\/mBio.02309-14","article-title":"Multicenter outbreak of infections by Saprochaete clavata, an unrecognized opportunistic fungal pathogen","volume":"5","author":"Vaux","year":"2014","journal-title":"MBio"},{"key":"2026093005450579000_19.9.e268305.4","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.mycmed.2018.04.005","article-title":"Saprochaete capitata (Geotrichum capitatum), an emerging fungal infection in kidney transplant recipients","volume":"28","author":"Hajar","year":"2018","journal-title":"J Mycol Med"},{"key":"2026093005450579000_19.9.e268305.5","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1111\/1469-0691.12360","article-title":"ESCMID and ECMM joint clinical guidelines for the diagnosis and management of rare invasive yeast infections","volume":"20 Suppl 3","author":"Arendrup","year":"2014","journal-title":"Clin Microbiol Infect"},{"key":"2026093005450579000_19.9.e268305.6","first-page":"1","article-title":"Saprochaete capitata infection in non-neutropenic patients: a report of three cases and a review of the literature","volume":"29","author":"Lussana","year":"2020","journal-title":"Med Mycol Case Rep"},{"key":"2026093005450579000_19.9.e268305.7","first-page":"744","article-title":"Rare fungal infections in pediatric cancer patients: report from the German Study Group on Mycoses","volume":"55","author":"Tragiannidis","year":"2010","journal-title":"Pediatr Blood Cancer"},{"key":"2026093005450579000_19.9.e268305.8","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-2276.2003.01133.x"},{"key":"2026093005450579000_19.9.e268305.9","first-page":"844","article-title":"Evaluation of fungal burden and contribution of MALDI-TOF for the diagnosis of invasive Geotrichum capitatum infections","volume":"53","author":"Guegan","year":"2015","journal-title":"Med Mycol"},{"key":"2026093005450579000_19.9.e268305.10","doi-asserted-by":"publisher","DOI":"10.1111\/myc.12095"},{"key":"2026093005450579000_19.9.e268305.11","first-page":"e21","article-title":"Saprochaete capitata infection in patients with acute leukemia: a retrospective multicenter report","volume":"99","author":"Del Principe","year":"2014","journal-title":"Haematologica"},{"key":"2026093005450579000_19.9.e268305.12","first-page":"2031","article-title":"Identification of Geotrichum capitatum as a cause of nosocomial outbreaks of fungemia","volume":"33","author":"Meis","year":"1995","journal-title":"J Clin Microbiol"},{"key":"2026093005450579000_19.9.e268305.13","doi-asserted-by":"publisher","DOI":"10.3121\/cmr.2016.1303"},{"key":"2026093005450579000_19.9.e268305.14","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(02)00437-1"},{"key":"2026093005450579000_19.9.e268305.15","doi-asserted-by":"publisher","DOI":"10.1172\/JCI68035"},{"key":"2026093005450579000_19.9.e268305.16","doi-asserted-by":"publisher","DOI":"10.1086\/649869"},{"key":"2026093005450579000_19.9.e268305.17","first-page":"646","article-title":"Fatal Geotrichum capitatum fungemia in immunocompromised patients: report of four cases and review","volume":"28","author":"Hennequin","year":"1999","journal-title":"Clin Infect Dis"},{"key":"2026093005450579000_19.9.e268305.18","first-page":"e500","article-title":"First description of a nosocomial outbreak due to Geotrichum capitatum in France and literature review","volume":"54","author":"Lavergne","year":"2011","journal-title":"Mycoses"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-268305","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T12:45:19Z","timestamp":1790772319000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-268305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":18,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2026,9,30]]},"published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1136\/bcr-2025-268305"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-268305","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]}}}