2003
DOI: 10.1046/j.1439-0507.2003.00837.x
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Paecilomyces variotii central nervous system infection in a patient with cancer

Abstract: Paecilomyces variotii was isolated from two subsequent cerebrospinal fluid (CSF) specimens of a cancer patient. Identification was confirmed through beta-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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Cited by 18 publications
(6 citation statements)
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“…32 P. variotii is the second species in this category, and it was strongly amplified by the specificity testing performed here. Besides acting as an opportunistic pathogen, 33 P. variotii has been listed as a species commonly found in indoor environments, 34 and in moisture-damaged schools. 35 A phylogenetic tree of the 18S gene indicates the species is very genetically similar to Aspergillus.…”
Section: Discussionmentioning
confidence: 99%
“…32 P. variotii is the second species in this category, and it was strongly amplified by the specificity testing performed here. Besides acting as an opportunistic pathogen, 33 P. variotii has been listed as a species commonly found in indoor environments, 34 and in moisture-damaged schools. 35 A phylogenetic tree of the 18S gene indicates the species is very genetically similar to Aspergillus.…”
Section: Discussionmentioning
confidence: 99%
“…Other pathogenic ascomycetes with a marked predilection towards brain infections, such as Pseudallescheria boydii , Candida albicans , and Aspergillus fumigatus (de Hoog & Guarro, 2000), have also been isolated from environments containing hydrocarbons or phenols, and are known to assimilate these substrates (Sorkhoh et al , 1990; Jones et al , 1995; Gaylarde et al , 1999). The common fuel biodeteriogen Paecilomyces variotii also occurs as an opportunistic pathogen, occasionally causing central nervous system infections in immunocompromised patients (de Hoog & Guarro, 2000; Kantarcioglu et al , 2003). Infections with Sporothrix schenckii (a species mentioned above as closely related to an alkylbenzene‐degrading isolate surveyed here) are usually localized in the subcutaneous and lymphatic tissues, but disseminated infections with neurotropic involvement have occasionally been observed in individuals with impaired immunity (Rocha et al , 2001).…”
Section: Ecology Of the Alkylbenzene‐utilizing Fungimentioning
confidence: 99%
“…Many fungi from these genera either are opportunistic pathogens (e.g. Penicillium chrysogenum, P. brevicompactum, Paecilomyces lilacinus, P. variotii, A. niger, A. fumigatus ), [8,24–28] or can produce mycotoxins that are carcinogenic to humans (e.g. P. commune, A. ochraceus, A. flavus ) [2,29,30].…”
Section: Resultsmentioning
confidence: 99%