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 patien...

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Bibliographic Details
Published in:	Clinical nephrology Vol. 71; no. 3; p. 355
Main Authors:	Labriola, L, V, B, Ercam, Swinne, D, Jadoul, M
Format:	Journal Article
Language:	English
Published:	Germany 01-03-2009
Subjects:	Aged Antifungal Agents - therapeutic use Catheter-Related Infections - drug therapy Catheter-Related Infections - microbiology Catheters, Indwelling - adverse effects Female Fungemia - drug therapy Fungemia - microbiology Humans Paecilomyces - isolation & purification Pyrimidines - therapeutic use Renal Dialysis Triazoles - therapeutic use Voriconazole
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Summary:	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.
ISSN:	0301-0430
DOI:	10.5414/CNP71355