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伏立康唑治疗隐球菌病患者失败。

Treatment Failure of Isavuconazole in a Patient with Cryptococcosis.

机构信息

Division of Infectious Diseases, University of Michigan Medical School, 1500 E. Medical Dr., South University Hospital F4005, Ann Arbor, MI, 48109-5378, USA.

Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA.

出版信息

Mycopathologia. 2019 Oct;184(5):667-670. doi: 10.1007/s11046-019-00374-3. Epub 2019 Aug 26.

DOI:10.1007/s11046-019-00374-3
PMID:31451965
Abstract

Isavuconazole is a broad-spectrum azole that is FDA-approved for the treatment of aspergillosis and mucormycosis; data on the use of isavuconazole for the treatment and prevention of other invasive fungal infections are limited. Here, we report a patient with pulmonary cryptococcosis treated with isavuconazole who experienced progression to disseminated infection with Cryptococcus while on isavuconazole. Caution is advised when using isavuconazole in situations where there is a paucity of data to recommend its use.

摘要

伊曲康唑是一种广谱唑类药物,已获得 FDA 批准用于治疗曲霉病和毛霉病;关于伊曲康唑治疗和预防其他侵袭性真菌感染的数据有限。在这里,我们报告了一例使用伊曲康唑治疗的肺隐球菌病患者,在使用伊曲康唑期间进展为播散性隐球菌感染。在数据不足推荐使用的情况下,使用伊曲康唑时应谨慎。

相似文献

1
Treatment Failure of Isavuconazole in a Patient with Cryptococcosis.伏立康唑治疗隐球菌病患者失败。
Mycopathologia. 2019 Oct;184(5):667-670. doi: 10.1007/s11046-019-00374-3. Epub 2019 Aug 26.
2
Clinical Pharmacokinetics and Pharmacodynamics of Isavuconazole.伊曲康唑的临床药代动力学和药效学。
Clin Pharmacokinet. 2018 Dec;57(12):1483-1491. doi: 10.1007/s40262-018-0673-2.
3
Real-life use of isavuconazole outside the hematological wards.异曲康唑在血液科病房以外的实际应用。
Eur J Intern Med. 2019 Dec;70:e10-e12. doi: 10.1016/j.ejim.2019.09.005. Epub 2019 Sep 13.
4
Therapeutic drug concentrations of isavuconazole following the administration of isavuconazonium sulfate capsules via gastro-jejunum tube: A case report.通过胃空肠管给予硫酸艾沙康唑胶囊后艾沙康唑的治疗药物浓度:一例报告。
Transpl Infect Dis. 2019 Apr;21(2):e13048. doi: 10.1111/tid.13048. Epub 2019 Jan 29.
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Isavuconazole treatment for rare fungal diseases and for invasive aspergillosis in patients with renal impairment: Challenges and lessons of the VITAL trial.伊曲康唑治疗罕见真菌病和肾功能损害患者侵袭性曲霉病:VITAL 试验的挑战与经验教训。
Mycoses. 2018 Jul;61(7):420-429. doi: 10.1111/myc.12769. Epub 2018 Apr 19.
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Isavuconazole in a Successful Combination Treatment of Disseminated Mucormycosis in a Child with Acute Lymphoblastic Leukaemia and Generalized Haemochromatosis: A Case Report and Review of the Literature.伊曲康唑在儿童急性淋巴细胞白血病和全身性血色素沉着症伴播散性毛霉病的成功联合治疗中的应用:病例报告及文献复习。
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Pharmacokinetics of oral isavuconazole in a patient after Roux-en-Y gastric bypass surgery.Roux-en-Y胃旁路手术后患者口服艾沙康唑的药代动力学
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引用本文的文献

1
Pulmonary Cryptococcosis.肺隐球菌病
J Fungi (Basel). 2022 Oct 31;8(11):1156. doi: 10.3390/jof8111156.
2
Drug-Resistant Fungi: An Emerging Challenge Threatening Our Limited Antifungal Armamentarium.耐药真菌:对我们有限的抗真菌药物库构成威胁的新挑战。
Antibiotics (Basel). 2020 Dec 8;9(12):877. doi: 10.3390/antibiotics9120877.
3
Isavuconazole-Animal Data and Clinical Data.艾沙康唑——动物数据与临床数据。

本文引用的文献

1
Serial monitoring of isavuconazole blood levels during prolonged antifungal therapy.长期抗真菌治疗期间伏立康唑血药浓度的连续监测。
J Antimicrob Chemother. 2019 Aug 1;74(8):2341-2346. doi: 10.1093/jac/dkz188.
2
The Curious Case of "Case Report" of Infections Caused by Human and Animal Fungal Pathogens: An Educational Tool, an Online Archive, or a Format in Need of Retooling.人类和动物真菌病原体感染的“病例报告”之谜:教育工具、在线档案还是需要改进的格式。
Mycopathologia. 2018 Dec;183(6):879-891. doi: 10.1007/s11046-018-0314-1.
3
Fluconazole resistance is not a predictor of poor outcome in patients with cryptococcosis.
J Fungi (Basel). 2020 Oct 6;6(4):209. doi: 10.3390/jof6040209.
氟康唑耐药性不是隐球菌病患者预后不良的预测指标。
Mycoses. 2019 May;62(5):441-449. doi: 10.1111/myc.12847. Epub 2019 Mar 13.
4
Activity of Isavuconazole against Opportunistic Fungal Pathogens from Two Mycology Reference Laboratories.伊曲康唑对两个真菌学参考实验室的机会性真菌病原体的活性。
Antimicrob Agents Chemother. 2018 Sep 24;62(10). doi: 10.1128/AAC.01230-18. Print 2018 Oct.
5
Breakthrough Fungal Infections in Patients With Leukemia Receiving Isavuconazole.白血病患者接受伊曲康唑治疗后出现突破性真菌感染。
Clin Infect Dis. 2018 Oct 30;67(10):1610-1613. doi: 10.1093/cid/ciy406.
6
Breakthrough Invasive Fungal Infections on Isavuconazole Prophylaxis and Treatment: What Is Happening in the Real-World Setting?在使用艾沙康唑进行预防和治疗时出现的突破性侵袭性真菌感染:现实环境中发生了什么?
Clin Infect Dis. 2018 Sep 14;67(7):1142-1143. doi: 10.1093/cid/ciy260.
7
Isavuconazole shortens the QTc interval.伊曲康唑缩短 QTc 间期。
Mycoses. 2018 Apr;61(4):256-260. doi: 10.1111/myc.12731. Epub 2018 Jan 3.
8
QT Interval Shortening With Isavuconazole: In Vitro and In Vivo Effects on Cardiac Repolarization.异氟康唑导致QT间期缩短:对心脏复极化的体外和体内影响
Clin Pharmacol Ther. 2017 Jun;101(6):782-790. doi: 10.1002/cpt.620. Epub 2017 Feb 13.
9
Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America.曲霉病诊断和管理实践指南:美国感染病学会2016年更新版
Clin Infect Dis. 2016 Aug 15;63(4):e1-e60. doi: 10.1093/cid/ciw326. Epub 2016 Jun 29.
10
Isavuconazole Treatment of Cryptococcosis and Dimorphic Mycoses.艾沙康唑治疗隐球菌病和双相真菌病。
Clin Infect Dis. 2016 Aug 1;63(3):356-62. doi: 10.1093/cid/ciw305. Epub 2016 May 11.