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Paecilomyces varioti fungemia in a bone marrow transplant patient.

M. M. K. Shing, Margaret Ip, Chi Kong Li, Ki Wai Chik, P. M. Yuen

Abstract

Paecilomyces varioti, a fungus resembling penicillium spp, has been described in conjunction with impaired host defence or foreign body implants. We report a case of Paecilomyces varioti catheter-related fungemia that occurred during neutropenia in an allogeneic BMT patient receiving antifungal prophylaxis with fluconazole. Successful treatment was achieved by removal of central venous catheter, intravenous amphotericin B and oral itraconazole.

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Available abstract

Key concepts: Fungemia, Medicine, Neutropenia, Paecilomyces, Itraconazole, Amphotericin B, Fluconazole, Mycosis