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October 1986

Paecilomyces lilacinus Cellulitis in an Immunocompromised Patient

Author Affiliations


From the Department of Medicine, Madigan Army Medical Center, Tacoma, Wash.

Arch Dermatol. 1986;122(10):1169-1170. doi:10.1001/archderm.1986.01660220087017

Paecilomyces lilacinus, a saprophytic soil fungus, is an uncommon human pathogen. An immunocompromised patient developed a deep cellulitis due to P lilacinus. The infection responded poorly to intravenous amphotericin B but eventually resolved after combination therapy with amphotericin B and flucytosine (5-fluorocytosine). Previous in vitro studies have suggested that miconazole is the most active antifungal agent against P lilacinus.

(Arch Dermatol 1986;122:1169-1170)