Simultaneous cutaneous infection due to Paecilomyces lilacinus and Alternaria in a heart transplant patient

R A Lavergne; S Cassaing; T Nocera; C Pauwels; O Cointault; G Basse; L Lavayssière; A Berry; N Kamar; L Lamant; X Iriart; M D Linas; A Valentin; J Fillaux; C Paul; J F Magnaval

doi:10.1111/tid.12020

Simultaneous cutaneous infection due to Paecilomyces lilacinus and Alternaria in a heart transplant patient

Transpl Infect Dis. 2012 Dec;14(6):E156-60. doi: 10.1111/tid.12020. Epub 2012 Oct 17.

Authors

R A Lavergne¹, S Cassaing, T Nocera, C Pauwels, O Cointault, G Basse, L Lavayssière, A Berry, N Kamar, L Lamant, X Iriart, M D Linas, A Valentin, J Fillaux, C Paul, J F Magnaval

Affiliation

¹ Service de Parasitologie-Mycologie, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.

PMID: 23075226
DOI: 10.1111/tid.12020

Abstract

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.

Publication types

Case Reports

MeSH terms

Alternaria*
Alternariosis / microbiology*
Antifungal Agents / administration & dosage
Antifungal Agents / therapeutic use
Dermatomycoses / microbiology*
Heart Transplantation / adverse effects*
Humans
Immunocompromised Host
Male
Middle Aged
Paecilomyces*
Pyrimidines / administration & dosage
Pyrimidines / therapeutic use
Triazoles / administration & dosage
Triazoles / therapeutic use
Voriconazole

Substances

Antifungal Agents
Pyrimidines
Triazoles
Voriconazole