Successful treatment with voriconazole of prolonged Paecilomyces lilacinus fungemia in a chronic hemodialyzed patient.

Abstract

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.

• Authors: L Labriola, B V, Ercam, D Swinne, M Jadoul
• Journal: Clinical nephrology (Clin Nephrol) Vol. 71 Issue 3 Pg. 355-8 (Mar 2009) ISSN: 0301-0430 [Print] Germany
• PMID: 19281753 (Publication Type: Case Reports, Journal Article)

Chemical References

• Antifungal Agents
• Pyrimidines
• Triazoles
• Voriconazole

Topics

• Aged
• Antifungal Agents (therapeutic use)
• Catheter-Related Infections (drug therapy, microbiology)
• Catheters, Indwelling (adverse effects)
• Female
• Fungemia (drug therapy, microbiology)
• Humans
• Paecilomyces (isolation & purification)
• Pyrimidines (therapeutic use)
• Renal Dialysis
• Triazoles (therapeutic use)
• Voriconazole