Journal
JOURNAL OF HEART AND LUNG TRANSPLANTATION
Volume 21, Issue 10, Pages 1131-1134Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/S1053-2498(02)00404-7
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We report a case of sternotomy wound infection caused by Paecilomyces variotii in a previously bronchiectatic patient, occurring 10 months after bilateral sequential lung transplantation. The use of prophylactic antifungal therapy, the persistent colonization with Paecilomyces, and sternal instability after clamshell incision may have, contributed to the development of delayed deep sternal wound infection. Besides antifungal therapy, vigorous surgical debridement is vital for treatment success. With the more liberal use of early post-transplant fungal prophylaxis, potentially drug-resistant fungi, such as the Paecilomyces species, may be emerging as important opportunistic pathogens after lung transplantation.
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