TREATMENT OF CHRONIC DISSEMINATED GEOTRICHUM-CAPITATUM INFECTION WITH HIGH CUMULATIVE DOSE OF COLLOIDAL AMPHOTERICIN-B AND ITRACONAZOLE IN A LEUKEMIA PATIENT

被引:15
作者
COFRANCESCO, E
VIVIANI, MA
BOSCHETTI, C
TORTORANO, AM
BALZANI, A
CASTAGNONE, D
机构
[1] CTR RIC CLIN FARMACOL & TERAPEUT,IST IGIENE & MED PREVENT,I-20122 MILAN,ITALY
[2] OSPED MAGGIORE,IST RICOVERO & CURA CARATTERE SCI,SERV RADIOL,MILAN,ITALY
关键词
GEOTRICHUM CAPITATUM; LEUKEMIA; DISSEMINATED INFECTION; GRANULOMATOUS INFECTION; ANTIMYCOTIC CHEMOTHERAPY; AMPHOTERICIN B LIPID FORMULATION; ITRACONAZOLE;
D O I
10.1111/j.1439-0507.1995.tb00068.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
A case of disseminated granulomatous Geotrichum capitatum infection is reported. A young patient with blastic crisis of chronic myelogenous leukaemia developed septicaemia caused by G. capitatum in the post-chemotherapy aplastic phase. Subsequently, disseminated infection of the liver, spleen, pancreas and kidneys was observed. Treatment with high cumulative doses of a lipid formulation of amphotericin B (Amphocil(TM), 20.2 g in 11 weeks) and maintenance with itraconazole resolved clinical manifestations of G. capitatum granulomatous disseminated disease and controlled reactivation of the infection during the two subsequent courses of cytotoxic chemotherapy.
引用
收藏
页码:377 / 384
页数:8
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