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- Title
Pneumocystis jiroveci pneumonia in a patient with Wegener’s granulomatosis treated efficiently with caspofungin.
- Authors
Hof, Herbert; Schnülle, Peter
- Abstract
A patient with Wegener’s granulomatosis was on steroids (20 mg prednisolone per day) when he fell ill with an atypical pneumonia caused by Pneumocystis, which was diagnosed by detection of antigen in repeated bronchial lavage specimens. Because other treatment options were contraindicated, he received intravenous caspofungin starting with a loading dose of 70 mg and a maintenance dose of 50 mg daily over 3 weeks thereafter. The patient’s complaints subsequently resolved within days after initiation of treatment. Tolerability of the drug was excellent. No relapse occurred during the ongoing 4 years, although immunosuppressive therapy continued.
- Subjects
RESEARCH; GRANULOMATOSIS with polyangiitis; STEROID drugs; ANTIGENS; BRONCHOALVEOLAR lavage; PNEUMOCYSTIS carinii pneumonia treatment; IMMUNOSUPPRESSIVE agents
- Publication
Mycoses, 2008, Vol 51, p65
- ISSN
0933-7407
- Publication type
Article
- DOI
10.1111/j.1439-0507.2008.01530.x