Breakthrough fungal infections in stem cell transplant recipients receiving voriconazole

被引:306
作者
Imhof, A
Balajee, SA
Fredricks, DN
Englund, JA
Marr, KA
机构
[1] Fred Hutchinson Canc Res Ctr, Program Infect Dis, Div Clin Res, Seattle, WA 98109 USA
[2] Univ Washington, Dept Med, Seattle, WA USA
[3] Univ Washington, Dept Pediat, Childrens Hosp & Reg Med Ctr, Seattle, WA 98195 USA
关键词
D O I
10.1086/423274
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Infection with voriconazole-resistant fungi may become problematic, because organisms with decreased susceptibility have been noted. Breakthrough fungal infections occurred in 13 of 139 patients who received voriconazole at our center during the period of September 1998 through September 2003. Zygomycetes were found in 6 patients, and Candida glabrata bloodstream infection occurred in 4 patients. Minimal inhibitory concentrations were greater than or equal to1 mug/mL for all available isolates. Yeasts and molds with decreased susceptibility to voriconazole may cause invasive infection in patients treated successfully for aspergillosis.
引用
收藏
页码:743 / 746
页数:4
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