Long-term treatment of invasive sinus, tracheobroncheal, pulmonary and intracerebral aspergillosis in acute lymphoblastic leukaemia

被引:6
作者
Bjorkholm, M. [1 ,2 ]
Kalin, M. [3 ]
Grane, P. [4 ]
Celsing, F. [2 ]
机构
[1] Karolinska Univ Hosp Solna, Div Hematol, Dept Med, SE-17176 Stockholm, Sweden
[2] Karolinska Univ Hosp & Inst, Div Hematol, Dept Med, Stockholm, Sweden
[3] Karolinska Univ Hosp & Inst, Div Infect Dis, Stockholm, Sweden
[4] Karolinska Univ Hosp & Inst, Dept Clin Neurosci, Neuroradiol Sect, Stockholm, Sweden
关键词
Acute Lymphoblastic Leukemia; Voriconazole; Aspergillosis; Invasive Aspergillosis; Posaconazole;
D O I
10.1007/s15010-011-0158-9
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
A 59-year-old male with acute lymphoblastic leukemia developed sinus, tracheobroncheal, pulmonary, and intracerebral aspergillosis. All lesions except the intracerebral aspergillosis healed after combination antifungal treatment. Long-term voriconazole but not posaconazole therapy induced partial regression of the cerebral manifestations. At the time of writing, 3.5 years after the initial diagnosis, the patient is working half-time and suffers from a possible voriconazole-induced polyneuropathy.
引用
收藏
页码:81 / 85
页数:5
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