PULMONARY ASPERGILLOSIS CAUSED BY A PAN-AZOLE-RESISTANT ASPERGILLUS FUMIGATUS IN A 10-YEAR-OLD BOY
Valtyr Stefansson Thors, Marc Bierings, Willem J. G. Melchers, Paul E. Verweij, Tom F.W. Wolfs
Abstract
Valtyr Stefansson Thors, Marc Bierings, Willem J. G. Melchers, Paul E. Verweij, Tom F.W. Wolfs
Abstract
A 10-year-old boy with high-risk acute lymphoblastic leukemia treated with hematopoietic stem-cell transplantation developed pulmonary aspergillosis while receiving prophylactic voriconazole. A transpleural aspirate culture revealed a pan-azole-resistant Aspergillus fumigatus. Treatment with liposomal amphotericin B resulted in complete recovery. As the frequency of azole resistance in A. fumigatus increases, invasive procedures to isolate fungi for species identification and susceptibility testing becomes even more important.
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A 10-year-old boy with high-risk acute lymphoblastic leukemia treated with hematopoietic stem-cell transplantation developed pulmonary aspergillosis while receiving prophylactic voriconazole. A transpleural aspirate culture revealed a pan-azole-resistant Aspergillus fumigatus. Treatment with liposomal amphotericin B resulted in complete recovery. As the frequency of azole resistance in A. fumigatus increases, invasive procedures to isolate fungi for species identification and susceptibility testing becomes even more important.
Key concepts: Aspergillus fumigatus, Voriconazole, Azole, Aspergillosis, Amphotericin B, Aspergillus, Hematopoietic stem cell transplantation, Medicine