Infección sistémica por Paecilomyces lilacinus en un paciente inmunodeprimido pediátrico: Report of one case

• Jorge Roque E ^[1] ; Montserrat Navarro N ^[1] ; Gloria Toro V ^[1] ; Isabel González L ^[1] ; Milena Pimstein L ^[1] ; Eleonor Venegas B ^[1]
  1. [1] Hospital San Juan de Dios

     Hospital San Juan de Dios

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 131, Nº. 1, 2003, págs. 77-80
• Idioma: español
• Títulos paralelos:
  • Paecilomyces lilacinus systemic infection in an immunocompromised child
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• Resumen

  • The incidence of systemic fungal infections increased during the last two decades. Rare fungi, such as Mucor, Fusarium and Paecilomyces, are emerging as causes of systemic fungal infections in immunocompromised hosts. There are reports of cutaneous infections, endophthalmitis, keratitis, sinusitis, neumopathy and fungemia in immunocompromised and immunocompetent adult patients. We report a 5 years old neutropenic patient with acute myeloid leukemia treated with multiple courses of chemotherapy, with a fungemia caused by Paecilomyces lilacinus (PL). His initial clinical course was characterized by fever, skin lesions, respiratory distress and shock. Blood and bone marrow cultures were positive. The patient was treated with amphotericin B and itraconazole with a good clinical response (Rev Méd Chile 2003; 131: 77-80).