Paecilomyces lilacinus eumycetoma.
Eumycetoma is a chronic granulomatous infection of the skin, subcutaneous tissue, fascia, and bone caused by true fungi. Most commonly, it affects the foot or hand. Fungi commonly reported to cause eumycetoma are Madurella mycetomatis, Madurella grisea, Phialophora jeanselmei, Cephalosporium recifei, etc. There have been several previous reports of human invasive infections by Paecilomyces lilacinus causing endophthalmitis, keratitis, chronic sinusitis, skin and soft tissue infections, and catheter-related infections. We report a case of eumycetoma caused by P. lilacinus. To our knowledge, this is the first report of P. lilacinus causing eumycetoma of the foot in the English literature.
Motswaledi
Hendrick M
HM
Department of Dermatology, National Health Laboratory Services, Medunsa Campus, University of Limpopo, South Africa. motswaledi1@webmail.co.za
Mathekga
Keneiloe
K
Sein
Pyu Pyu
PP
Nemutavhanani
Dick L
DL
D000935:Antifungal Agents / Q000008:administration & dosage; D001706:Biopsy; D003881:Dermatomycoses / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology*; D005533:Foot Dermatoses / Q000188:drug therapy / Q000382:microbiology / Q000473:pathology; D006801:Humans; D017964:Itraconazole / Q000008:administration & dosage; D008297:Male; D008875:Middle Aged; D008271:Mycetoma / Q000188:drug therapy / Q000382:microbiology* / Q000473:pathology*; D010143:Paecilomyces; D013019:South Africa
D000935:Antifungal Agents; D017964:Itraconazole