Isavuconazonium for the treatment of Purpureocillium lilacinum infection in a patient with pyoderma gangrenosum.

Med Mycol Case Rep

Tulane University, Department of Medicine, 1415 Tulane Avenue, 70112, New Orleans, United States.

Published: September 2020

Purpureocillium lilacinum is a rare but emerging pathogen in immunocompromised patients that primarily infects the skin and subcutaneous tissue. We present a novel case of Purpureocillium lilacinum infection in a patient with pyoderma gangrenosum who was successfully treated with isavuconazonium, followed by a literature review of 13 total cases of infection with Purpureocillium lilacinum gathered from a review of the PubMed database. Previous reports have utilized voriconazole, an antifungal with significant toxic side effects. Our case highlights the importance of culture and biopsy in patients with pyoderma gangrenosum who are unresponsive to standard treatment irrespective of pathergy risk.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7286926PMC
http://dx.doi.org/10.1016/j.mmcr.2020.05.006DOI Listing

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