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一名心脏移植患者在伏立康唑治疗曲霉病期间发生接合菌病重叠感染,采用脂质体两性霉素和泊沙康唑成功治愈。

Zygomycosis over-infection during voriconazole therapy for aspergillosis in a heart transplant patient, successfully treated with liposomal amphotericin and posaconazole.

作者信息

Bourke P, Castro P, Rabagliati R, Beltran C, Verdejo H, Winter J L, Bourge R C

机构信息

Division de Enfermedades Cardiovasculares, Escuela de Medicina, Facultad de Medicina Pontificia Universidad Católica de Chile, Santiago, Chile.

出版信息

Transpl Infect Dis. 2012 Oct;14(5):E56-9. doi: 10.1111/j.1399-3062.2012.00772.x. Epub 2012 Jul 31.

DOI:10.1111/j.1399-3062.2012.00772.x
PMID:22852999
Abstract

Aspergillosis and zygomycosis are life-threatening fungal infections in immunocompromised patients. We report a heart transplant recipient with an early pulmonary invasive aspergillosis successfully treated with association of voriconazole and caspofungin. Zygomycosis sinusitis, which was diagnosed while he still was on voriconazole therapy, was successfully treated with the use of combination antifungal therapy including liposomal amphotericin plus posaconazole and conservative surgical debridement.

摘要

曲霉病和接合菌病是免疫功能低下患者中危及生命的真菌感染。我们报告了一名心脏移植受者,其早期肺部侵袭性曲霉病通过伏立康唑和卡泊芬净联合治疗成功治愈。在他仍接受伏立康唑治疗时被诊断出的接合菌病鼻窦炎,通过使用包括脂质体两性霉素加泊沙康唑的联合抗真菌治疗和保守性手术清创术成功治愈。

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Zygomycosis over-infection during voriconazole therapy for aspergillosis in a heart transplant patient, successfully treated with liposomal amphotericin and posaconazole.一名心脏移植患者在伏立康唑治疗曲霉病期间发生接合菌病重叠感染,采用脂质体两性霉素和泊沙康唑成功治愈。
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[Invasive zygomycosis in patients treated for haematological malignancies].[血液系统恶性肿瘤患者的侵袭性接合菌病]
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