Paecilomyces varioti fungemia in a bone marrow transplant patient.
Paecilomyces varioti, a fungus resembling penicillium spp, has been described in conjunction with impaired host defence or foreign body implants. We report a case of Paecilomyces varioti catheter-related fungemia that occurred during neutropenia in an allogeneic BMT patient receiving antifungal prophylaxis with fluconazole. Successful treatment was achieved by removal of central venous catheter, intravenous amphotericin B and oral itraconazole.
Shing
M M
MM
Department of Paediatrics, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong.
Ip
M
M
Li
C K
CK
Chik
K W
KW
Yuen
P M
PM
D016026:Bone Marrow Transplantation / Q000276:immunology; D002405:Catheterization, Central Venous / Q000009:adverse effects; D002648:Child; D004198:Disease Susceptibility; D004866:Equipment Contamination; D005260:Female; D016469:Fungemia / Q000209:etiology / Q000382:microbiology*; D006801:Humans; D016867:Immunocompromised Host; D007166:Immunosuppressive Agents / Q000009:adverse effects; D009503:Neutropenia / Q000150:complications; D009894:Opportunistic Infections / Q000209:etiology / Q000382:microbiology*; D010143:Paecilomyces / Q000302:isolation & purification; D014184:Transplantation, Homologous; D017086:beta-Thalassemia / Q000628:therapy
D007166:Immunosuppressive Agents