Successful treatment of Fusarium proliferatum pneumonia with posaconazole in a lung transplant recipient

A 62-year-old lung transplant recipient had Fusarium proliferatum pneumonia during itraconazole prophylaxis. Severe dyspnea and emphysema ensued, requiring supplemental oxygen therapy. Therapeutic options for this patient were limited; renal insufficiency and cyclosporine use precluded amphotericin...

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Veröffentlicht in:The Journal of heart and lung transplantation 2004-12, Vol.23 (12), p.1451-1454
Hauptverfasser: Herbrecht, Raoul, Kessler, Romain, Kravanja, Christine, Meyer, Marie-Hélène, Waller, Jocelyn, Letscher-Bru, Valérie
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container_end_page 1454
container_issue 12
container_start_page 1451
container_title The Journal of heart and lung transplantation
container_volume 23
creator Herbrecht, Raoul
Kessler, Romain
Kravanja, Christine
Meyer, Marie-Hélène
Waller, Jocelyn
Letscher-Bru, Valérie
description A 62-year-old lung transplant recipient had Fusarium proliferatum pneumonia during itraconazole prophylaxis. Severe dyspnea and emphysema ensued, requiring supplemental oxygen therapy. Therapeutic options for this patient were limited; renal insufficiency and cyclosporine use precluded amphotericin B therapy, and susceptibility testing indicated that itraconazole and fluconazole had poor activity against F proliferatum . Treatment with posaconazole, a new triazole in clinical development for the prophylaxis and treatment of fungal infection, resulted in rapid clinical improvement and successful eradication of F proliferatum . Posaconazole may provide effective treatment for difficult-to-treat Fusarium infections.
doi_str_mv 10.1016/j.healun.2003.09.033
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Severe dyspnea and emphysema ensued, requiring supplemental oxygen therapy. Therapeutic options for this patient were limited; renal insufficiency and cyclosporine use precluded amphotericin B therapy, and susceptibility testing indicated that itraconazole and fluconazole had poor activity against F proliferatum . Treatment with posaconazole, a new triazole in clinical development for the prophylaxis and treatment of fungal infection, resulted in rapid clinical improvement and successful eradication of F proliferatum . Posaconazole may provide effective treatment for difficult-to-treat Fusarium infections.</description><identifier>ISSN: 1053-2498</identifier><identifier>EISSN: 1557-3117</identifier><identifier>DOI: 10.1016/j.healun.2003.09.033</identifier><identifier>PMID: 15607679</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Antibiotics. Antiinfectious agents. 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subjects Antibiotics. Antiinfectious agents. Antiparasitic agents
Antifungal agents
Antifungal Agents - therapeutic use
Biological and medical sciences
Fusarium
Humans
Lung Diseases, Fungal - drug therapy
Lung Transplantation
Male
Medical sciences
Middle Aged
Opportunistic Infections - drug therapy
Pharmacology. Drug treatments
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Triazoles - therapeutic use
title Successful treatment of Fusarium proliferatum pneumonia with posaconazole in a lung transplant recipient
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