Successful treatment with voriconazole of prolonged Paecilomyces lilacinus fungemia in a chronic hemodialyzed patient.
Paecilomyces lilacinus is a saprophytic mould which rarely causes infection in humans. We report a case of Paecilomyces lilacinus catheter-related fungemia in a chronic hemodialyzed patient. Blood cultures remained positive for 8 weeks. The infection was cured after eventual acceptance by the patient of oral voriconazole treatment for 6 weeks and removal of the tunneled catheter. The literature on Paecilomyces fungemia in humans is reviewed.
Labriola
L
L
Departments of Nephrology, Cliniques Universitaires St Luc, Université Catholique de Louvain, Brussels, Belgium.
V
B
B
Ercam
Swinne
D
D
Jadoul
M
M
D000368:Aged; D000935:Antifungal Agents / Q000627:therapeutic use*; D055499:Catheter-Related Infections / Q000188:drug therapy* / Q000382:microbiology*; D002408:Catheters, Indwelling / Q000009:adverse effects*; D005260:Female; D016469:Fungemia / Q000188:drug therapy* / Q000382:microbiology*; D006801:Humans; D010143:Paecilomyces / Q000302:isolation & purification*; D011743:Pyrimidines / Q000627:therapeutic use*; D006435:Renal Dialysis; D014230:Triazoles / Q000627:therapeutic use*; D065819:Voriconazole
D000935:Antifungal Agents; D011743:Pyrimidines; D014230:Triazoles; D065819:Voriconazole