棘白菌素预防青少年急性髓性白血病感染的研究。

IF 1 Q4 INFECTIOUS DISEASES Case Reports in Infectious Diseases Pub Date : 2024-11-20 eCollection Date: 2024-01-01 DOI:10.1155/crdi/4459447
Jordan Killingsworth, Rachel Boren, Rachna Sheth, Michael L Chang
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引用次数: 0

摘要

我们报告一个15岁的难治性和复发性急性髓性白血病和深度延长中性粒细胞减少症的病例,他在接受棘白菌素预防侵袭性真菌疾病时发生了头孢霉弥散性侵袭性感染。通常用作预防的唑类抗真菌治疗最初由于对CYP药物相互作用的担忧而被避免。在等待中性粒细胞恢复期间,两性霉素B脂质体、伏立康唑和辅助粒细胞输注联合治疗是成功的。
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Saprochaete capitata Infection in Teen With Acute Myeloid Leukemia Receiving Echinocandin Prophylaxis.

We report a case of a 15-year-old with refractory and relapsed AML and profound prolonged neutropenia who developed a Saprochaete capitata disseminated invasive infection while on echinocandin prophylaxis for invasive fungal disease. Azole antifungal therapies, which are often used as prophylaxis, were initially avoided due to concerns for CYP drug interactions. Treatment with a combination of liposomal amphotericin B, voriconazole, and adjuvant granulocyte transfusions was successful as he awaited neutrophil recovery.

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