How should we manage a patient with invasive mucoromycosis who develops life-threatening reaction to amphotericin B? Report of two cases and literature review

Fereshte Sheybani, Hamid Reza Naderi, Mohammad Reza Sarvghad, Mohammad Javad Ghabouli, Mahnaz Arian

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Abstract

Abstract This report presents two cases of invasive rhino-orbital mucormycosis who had life-threatening reactions to amphotericin B. Both cases were treated with a combination of posaconazole-caspofungin favorably with no evidence of recurrence upon long-term follow-up. To our knowledge, this is the first report of successful treatment of invasive mucormycosis with azole-echinocandin combination. It may suggest that caspofungin exerts additional or even synergistic antimucoral effects to posaconazole.

Original languageEnglish
Article number146
Pages (from-to)29-31
Number of pages3
JournalMEDICAL MYCOLOGY CASE REPORTS
Volume8
DOIs
Publication statusPublished - Jun 2015

Keywords

  • Azole-echinocandin
  • Caspofungin
  • Mucormycosis
  • Posaconazole

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