Chronic subcutaneous infection of Purpureocillium lilacinum in an immunocompromised patient: Case report and review of the literature.

1 例免疫功能低下患者的淡紫花青霉慢性皮下感染 ： 病例报告和文献复习。

• 发表时间: Dec 2022
• 来源期刊: Med Mycol Case Rep
• DOI: 10.1016/j.mmcr.2022.08.001
• PMID: 36147049
• 文章类型: Case Reports
• 作者列表: Albert R,Lemaignen A,Desoubeaux G,Bailly E,Bernard L,Lacasse M

关键词: Immunocompromised; Kidney transplantation; Purpureocillium lilacinum; Skin infection

Abstract

Our case reports a 52-year-old woman who presented with Purpureocillium lilacinum skin infection after a renal transplantation. The diagnosis was difficult and this species exhibits many resistances to antifungal agents. The clinical history was marked by a relapse causes by a foreign body. Our case suggests that posaconazole may be an alternative to cure P. lilacinum infection, and that the surgical debridement, the identification and removal of a foreign body may improve the prognosis.

摘要

我们的病例报道了一名52岁的女性，她在肾移植后出现了淡紫黄萎病皮肤感染。诊断很困难，该物种对抗真菌剂表现出许多抗性。临床病史以异物引起的复发为特征。我们的病例表明泊沙康唑可能是治疗丁香假单胞菌感染的替代药物，手术清创术，识别和去除异物可以改善预后。