Treatment of intestinal and hepatic mucormycosis in an immunocompromized child.

Abstract:

:During ALL chemotherapy, a 4-year-old patient presented with febrile neutropenia and abdominal pain. Ultrasound examinations were repeatedly normal. Computerized tomography on day 7 demonstrated appendicitis and multiple hepatic foci identified as mucormycosis (Absidia corymbifera). Successful outcome was achieved by aggressive re-surgery, long-term antifungal therapy with serum level-monitored posaconazole, and recovery of neutrophil counts. Considering the interference of posaconazole with CYP3A4, vincristine was administered during 72 hr posaconazole windows. Pediatric intestinal mucormycosis, still associated with a >70% case-fatality rate, calls for early imaging and surgery to establish the diagnosis, reduce the fungal mass, and provide a rationale for using posaconazole.

journal_name

Pediatr Blood Cancer

journal_title

Pediatric blood & cancer

authors

Lüer S,Berger S,Diepold M,Duppenthaler A,von Gunten M,Mühlethaler K,Wolf R,Aebi C

doi

10.1002/pbc.21918

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

872-4

issue

7

eissn

1545-5009

issn

1545-5017

journal_volume

52

pub_type

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