Permi Harish S, Sunil Kumar Y, Karnaker Vimal K, Kishan Prasad H L, Teerthanath S, Bhandary Satheesh Kumar
Department of Pathology, K S Hegde Medical Academy of Nitte University, Deralakatte, Mangalore, India.
J Lab Physicians. 2011 Jan;3(1):46-8. doi: 10.4103/0974-2727.78566.
Paecilomyces is a colonizing fungal species which usually causes keratitis, endocarditis, sinusitis, nephritis, fungemia, cutaneous, and subcutaneous infections in immunocompromised host. Very rarely, it causes similar infection in immunocompetent host without any risk factors. We report a case of maxillary sinusitis due to Paecilomyces lilacinus in a 65-year-old immunocompetent male, who presented with a subcutaneous swelling below the left eye. The lesion was excised by surgery and treated with itraconazole for 6 months based on culture and sensitivity. After 1 year of follow up, he is free of symptoms with no evidence of recurrence.
拟青霉是一种定殖真菌，通常在免疫功能低下的宿主中引起角膜炎、心内膜炎、鼻窦炎、肾炎、真菌血症、皮肤和皮下感染。在没有任何危险因素的免疫功能正常的宿主中，它很少引起类似感染。我们报告一例65岁免疫功能正常男性因淡紫拟青霉引起的上颌窦炎，该患者左眼下方出现皮下肿胀。根据培养和药敏结果，通过手术切除病变，并给予伊曲康唑治疗6个月。随访1年后，他无症状，无复发迹象。
