Multiple Fungal Brain Abscesses in a Child with Acute Lymphoblastic Leukemia

PATIROĞLU T., ÜNAL E., KARAKÜKCÜ M., Ozdemir M. A., Tucer B., Yikilmaz A., ...Daha Fazla

MYCOPATHOLOGIA, cilt.174, ss.505-509, 2012 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 174
  • Basım Tarihi: 2012
  • Doi Numarası: 10.1007/s11046-012-9563-6
  • Dergi Adı: MYCOPATHOLOGIA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.505-509
  • Anahtar Kelimeler: Aspergillus, Children, Fungal brain abscesses, Management, Voriconazole, INFECTION, CHEMOTHERAPY, MANAGEMENT
  • Erciyes Üniversitesi Adresli: Evet

Özet

Fungal infection is a severe problem in children suffering from cancer. We report a case of a four-year-old girl who was diagnosed with acute lymphoblastic leukemia and multiple Aspergillus niger abscesses at the induction phase of the treatment. She was treated with granulocyte transfusions, liposomal amphotericin B with a combination of voriconazole for four months, followed by oral variconazole alone for 17 months. She was successfully treated with this combination without any sequel, and the planned chemotherapy was also completed. Our experience revealed that antifungal treatment including intravenous amphotericin B and variconazole augmented by granulocyte transfusion is an alternative option for the management of this catastrophic complication.
Fungal infection is a severe problem in children suffering from cancer. We report a case of a four-year-old girl who was diagnosed with acute lymphoblastic leukemia and multiple Aspergillus niger abscesses at the induction phase of the treatment. She was treated with granulocyte transfusions, liposomal amphotericin B with a combination of voriconazole for four months, followed by oral variconazole alone for 17 months. She was successfully treated with this combination without any sequel, and the planned chemotherapy was also completed. Our experience revealed that antifungal treatment including intravenous amphotericin B and variconazole augmented by granulocyte transfusion is an alternative option for the management of this catastrophic complication. PMID:22777270[PubMed]