Rapid improvement of disseminated aspergillosis with caspofungin/voriconazole combination in an adult leukemic patient.

Abstract:

:A 57-year-old man with acute myeloid leukemia (AML) French-American-British (FAB) 4 developed disseminated invasive cerebral and pulmonary aspergillosis during postinduction aplasia. According to international consensus, infection was categorized as probable (two host factors: deep neutropenia for >10 days and refractory fever for >96 h; major clinical criteria of lower respiratory tract and CNS invasive fungal infection; positive results for galactomannan antigen in three blood samples). After the failure of standard amphotericin-based therapy, the spectacular regression of multifocal brain and lung lesions was rapidly achieved under a caspofungin acetate/voriconazole combination. Further permanent caspofungin maintenance with voriconazole added during aplasia periods permitted two consolidation courses and autograft-based intensification without any delay.

journal_name

Ann Hematol

journal_title

Annals of hematology

authors

Damaj G,Ivanov V,Le Brigand B,D'incan E,Doglio MF,Bilger K,Faucher C,Vey N,Gastaut JA

doi

10.1007/s00277-003-0792-0

subject

Has Abstract

pub_date

2004-06-01 00:00:00

pages

390-3

issue

6

eissn

0939-5555

issn

1432-0584

journal_volume

83

pub_type

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