Infection due to Paecilomyces lilacinus: a challenging clinical identification.
We describe a case of noninvasive sinusitis caused by Paecilomyces lilacinus in a patient with diabetes mellitus. Cure was achieved by endoscopic drainage and aspiration of the fungal mass. We discuss the difficulty in and clinical importance of distinguishing Paecilomyces from Aspergillus.
Saberhagen
C
C
Department of Medicine (Section of Infectious Diseases), Veterans Affairs Medical Center, Kansas City, Missouri 64128-2295, USA.
Klotz
S A
SA
Bartholomew
W
W
Drews
D
D
Dixon
A
A
D000666:Amphotericin B / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D005260:Female; D006801:Humans; D017964:Itraconazole / Q000627:therapeutic use; D008875:Middle Aged; D009181:Mycoses / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology; D010143:Paecilomyces / Q000302:isolation & purification*; D015524:Sphenoid Sinusitis / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology
D000935:Antifungal Agents; D017964:Itraconazole; D000666:Amphotericin B