• 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)
Jade KB, Lyons MF, Gnann JW. Paecilomyces lilacinus Cellulitis in an Immunocompromised Patient. Arch Dermatol. 1986;122(10):1169-1170. doi:10.1001/archderm.1986.01660220087017