Pulmonary aspergillosis caused by a pan-azole-resistant Aspergillus fumigatus in a 10-year-old boy

V.S. Thors, M.B. Bierings, W.J.G. Melchers, P.E. Verweij, T.F.W. Wolfs

Research output: Contribution to journalArticleAcademicpeer-review

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.

Original languageEnglish
Pages (from-to)268-270
Number of pages3
JournalThe Pediatric infectious disease journal
Volume30
Issue number3
DOIs
Publication statusPublished - 2011

Keywords

  • Amphotericin B
  • Antifungal Agents
  • Aspergillus fumigatus
  • Azoles
  • Chemoprevention
  • Child
  • Drug Resistance, Multiple, Fungal
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Male
  • Precursor Cell Lymphoblastic Leukemia-Lymphoma
  • Pulmonary Aspergillosis
  • Pyrimidines
  • Treatment Outcome
  • Triazoles
  • Voriconazole

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