Paecilomyces variotii central nervous system infection in a patient with cancer

Summary Paecilomyces variotii was isolated from two subsequent cerebrospinal fluid (CSF) specimens of a cancer patient. Identification was confirmed through β‐tubulin and rDNA ITS sequencing. MICs were determined for seven antifungal agents; the isolate was found to be susceptible to amphotericin B...

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Veröffentlicht in:Mycoses 2003-02, Vol.46 (1‐2), p.45-50
Hauptverfasser: Kantarcıoğlu, A. S., Hatemi, G., Yücel, A., De Hoog, G. S., Mandel, N. M.
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container_end_page 50
container_issue 1‐2
container_start_page 45
container_title Mycoses
container_volume 46
creator Kantarcıoğlu, A. S.
Hatemi, G.
Yücel, A.
De Hoog, G. S.
Mandel, N. M.
description Summary Paecilomyces variotii was isolated from two subsequent cerebrospinal fluid (CSF) specimens of a cancer patient. Identification was confirmed through β‐tubulin and rDNA ITS sequencing. MICs were determined for seven antifungal agents; the isolate was found to be susceptible to amphotericin B (AMB), itraconazole (ITZ), ketaconazole (KTZ) and 5‐fluorocytosine (5FC) but resistant to fluconazole (FLZ) and miconazole (MCZ). Despite antimycotic therapy, the infection proved to be fatal. Zusammenfassung Paecilomyces variotii wurde zweimal aus Liquorproben einer Krebspatientin isoliert. Die Bestimmung wurde bestätigt anhand von β‐Tubulin und rDNA‐ITS‐Sequenzierung. MHKs wurden festgestellt gegen sieben Antimykotika; das Isolat war empfindlich für Amphotericin B (AMB), Itraconazol (ITZ), Ketaconazol (KTZ) und 5‐Fluorocytosin (5FC), aber resistent gegen Fluconazol (FLZ) und Miconazol (MCZ). Trotz antimykotischer Therapie verstarb die Patientin an dieser Infektion.
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S.</creatorcontrib><creatorcontrib>Hatemi, G.</creatorcontrib><creatorcontrib>Yücel, A.</creatorcontrib><creatorcontrib>De Hoog, G. S.</creatorcontrib><creatorcontrib>Mandel, N. M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Mycoses</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kantarcıoğlu, A. S.</au><au>Hatemi, G.</au><au>Yücel, A.</au><au>De Hoog, G. S.</au><au>Mandel, N. M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paecilomyces variotii central nervous system infection in a patient with cancer</atitle><jtitle>Mycoses</jtitle><addtitle>Mycoses</addtitle><date>2003-02</date><risdate>2003</risdate><volume>46</volume><issue>1‐2</issue><spage>45</spage><epage>50</epage><pages>45-50</pages><issn>0933-7407</issn><eissn>1439-0507</eissn><abstract>Summary Paecilomyces variotii was isolated from two subsequent cerebrospinal fluid (CSF) specimens of a cancer patient. Identification was confirmed through β‐tubulin and rDNA ITS sequencing. MICs were determined for seven antifungal agents; the isolate was found to be susceptible to amphotericin B (AMB), itraconazole (ITZ), ketaconazole (KTZ) and 5‐fluorocytosine (5FC) but resistant to fluconazole (FLZ) and miconazole (MCZ). Despite antimycotic therapy, the infection proved to be fatal. 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subjects Antifungal Agents - pharmacology
Antifungal Agents - therapeutic use
Breast Neoplasms - complications
Central Nervous System Infections - drug therapy
Central Nervous System Infections - etiology
cerebrospinal fluid
Cerebrospinal Fluid - microbiology
Female
Humans
Liquor
Microbial Sensitivity Tests
Middle Aged
Mycoses - drug therapy
Mycoses - etiology
Opportunist
Opportunistic Infections
Paecilomyces - drug effects
Paecilomyces - genetics
Paecilomyces - isolation & purification
Paecilomyces variotii
systemic infection
systemische Infektion
Triazoles - pharmacology
Triazoles - therapeutic use
title Paecilomyces variotii central nervous system infection in a patient with cancer
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