In this case report we present a 64-year old female patient who was admitted to our intensive care unit (ICU) with an abdominal sepsis six days after a laparotomy and a hyperthermic intraperitoneal chemotherapy (HIPEC)-procedure. During her ICU admission she developed a pneumonia and sepsis. Bronchoalveolar lavage (BAL) was positive for Aspergillus species and an unknown fungus species. Despite maximum treatment for invasive aspergillosis, the patient died after being on the ICU for 29 days. Evaluation of the unknown species in the BAL showed Trichoderma. This case reports focuses on the clinical relevance of finding the Trichoderma species in the BAL. In addition, we provide a literature overview concerning Trichoderma species infections.
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