We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
A Long-Term Survivor of Disseminated Aspergillus and Mucorales Infection: An Instructive Case.
- Authors
Davoudi, Setareh; Anderlini, Paolo; Fuller, Gregory; Kontoyiannis, Dimitrios
- Abstract
Invasive fungal infections remain major causes of infection-related mortality in hematopoietic stem cell transplantation (HSCT) patients. Mixed infections and multiple organ involvement have been reported in these patients. Here, we report a case of mixed Aspergillus and Mucorales infection involving the lungs, brain, spleen and bone in a HSCT patient with relapsed acute myeloid leukemia, who finally improved with triple antifungal therapy and neurosurgical evacuation of brain abscesses. She was put on lifelong secondary prophylaxis with posaconazole with excellent compliance and no sign of toxicity despite over 10 years of drug administration. Serial galactomannan measurements and positron emission tomography/computed tomography were used and were helpful for disease activity monitoring. This is an instructive case of long-term survival after a severe combined mould infection.
- Subjects
ASPERGILLOSIS treatment; MUCORALES; POSITRON emission tomography; HEMATOPOIETIC stem cell transplantation; DISEASE relapse
- Publication
Mycopathologia, 2014, Vol 178, Issue 5/6, p465
- ISSN
0301-486X
- Publication type
Article
- DOI
10.1007/s11046-014-9785-x