Simultaneous cutaneous infection due to Paecilomyces lilacinus and Alternaria in a heart transplant patient.
Paecilomyces lilacinus is an emerging pathogen in immunocompromised patients. We report here a case of cutaneous hyphomycosis in a 63-year-old heart transplant recipient caused by the simultaneous presence of 2 molds: Paecilomyces lilacinus and Alternaria alternata. The infection was successfully treated with local voriconazole followed by oral terbinafine.
Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
R A
RA
Lavergne
S
S
Cassaing
T
T
Nocera
C
C
Pauwels
O
O
Cointault
G
G
Basse
L
L
Lavayssière
A
A
Berry
N
N
Kamar
L
L
Lamant
X
X
Iriart
M D
MD
Linas
A
A
Valentin
J
J
Fillaux
C
C
Paul
J F
JF
Magnaval
D000528:Alternaria; D060487:Alternariosis / Q000382:microbiology*; D000935:Antifungal Agents / Q000008:administration & dosage / Q000627:therapeutic use; D003881:Dermatomycoses / Q000382:microbiology*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D016867:Immunocompromised Host; D008297:Male; D008875:Middle Aged; D010143:Paecilomyces; D011743:Pyrimidines / Q000008:administration & dosage / Q000627:therapeutic use; D014230:Triazoles / Q000008:administration & dosage / Q000627:therapeutic use; D065819:Voriconazole
D000935:Antifungal Agents; D011743:Pyrimidines; D014230:Triazoles; D065819:Voriconazole