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Abstract

Candida spp. are the most common fungal pathogens isolated in immunocompromised hosts, particularly cancer patients. Numerous clinical manifestations of candidiasis have been recognized, including localized infection such as oropharyngeal candidasis or focal hepatic candidiasis, and disseminated infection resulting from hematogenous spread, with or without documented fungemia. Granulocytopenic patients are particularly at risk.Candida albicans is isolated in approximately 40 % of cases of fungemia, otherCandida spp. now also commonly being isolated. The rate of morbidity and mortality secondary to candidiasis is still significant despite numerous attempts to develop better diagnostic techniques, and more effective means of chemoprophylaxis and therapy. Currently, new antifungal agents and galenic preparations of amphotericin B are being evaluated with the aim of improving the prognosis of candidiasis in immunocompromised hosts.

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References

  1. Bodey, G. (ed.): Candidiasis: a growing concern. American Journal of Medicine 1984, 77: 1–48.

  2. Edwards, J. E. Candida species. In: Mandell, G. L., Douglas, R. G., Bennett, J. E. (ed.): Principles and practice of infectious diseases. Wiley Medical, New York, 1985, p. 1435–1447.

    Google Scholar 

  3. Meunier, F. Fungal infections in the compromised host. In: Rubin, R. H., Young, L. S. (ed.): Clinical approach to infection in the compromised host. Plenum Medical, New York, 1988, p. 193–220.

    Google Scholar 

  4. Bennett, J. V. Incidence and nature of endemic and epidemic nosocomial infections. In: Bennett, J. V., Brachman, P. S. (ed.): Hospital infections. Little/Brown, Boston, 1979, p. 233–254.

    Google Scholar 

  5. Krick, J., Remington, J. Opportunistic fungal infection in patients with leukemia and lymphoma. Clinics in Haematology 1976, 5: 249–310.

    PubMed  Google Scholar 

  6. Hawkins, C., Armstrong, D. Fungal infections in the immunocompromised host. Clinics in Haematology 1984, 13: 599–630.

    PubMed  Google Scholar 

  7. Gold, J. W. M. Infectious complications of AIDS. In: Staquet, M., Hemmer, R., Baert, A. (ed.): Clinical aspects of AIDS and AIDS-related complex. University Press, Oxford, 1986, p. 93–100.

    Google Scholar 

  8. Butler, K. M., Baker, C. J. Candida: an increasingly important pathogen in the nursery. Pediatric Clinics of North America 1988, 35: 543–563.

    PubMed  Google Scholar 

  9. Dupont, B., Drouhet, E. Cutaneous, occular and osteoarticular candidiasis in heroin addicts. Journal of Infectious Diseases 1985, 152: 577–591.

    PubMed  Google Scholar 

  10. Wade, J. C., Schimpff, S. C. Epidemiology and prevention of infection in the compromised host. In: Rubin, R. H., Young, L. S. (ed.): Clinical approach to infection in the compromised host. Plenum Medical, New York, 1988, p. 5–40.

    Google Scholar 

  11. Aisner, J., Schimpff, S., Sutherland, J., Young, V., Wiernick, P. Torulopsis glabrata infections in patients with cancer: increasing incidence and relationship to colonization. American Journal of Medicine 1976, 61: 23–28.

    PubMed  Google Scholar 

  12. Wingard, J., Merz, W., Saral, R. Candida tropicalis: a major pathogen in immunocompromised patients. Annals of Internal Medicine 1979, 91: 539–543.

    PubMed  Google Scholar 

  13. Kiehn, T., Edwards, F., Armstrong, D. The prevalence of yeasts in clinical specimens from cancer patients. American Journal of Clinical Pathology 1980, 73: 518–521.

    PubMed  Google Scholar 

  14. Meunier-Carpentier, F., Kiehn, T., Armstrong, D. Fungemia in the immunocompromised host: changing patterns, antigenemia, high mortality. American Journal of Medicine 1981, 1: 363–370.

    Google Scholar 

  15. Horn, R., Wong, B., Kiehn, T. E., Armstrong, D. Fungemia in a cancer hospital: changing frequency, earlier onset, and results of therapy. Reviews of Infectious Diseases 1985, 7: 646–655.

    PubMed  Google Scholar 

  16. Bennett, J. E. Rapid diagnosis of candidiasis and aspergillosis. Reviews of Infectious Diseases 1987, 9: 398–402.

    PubMed  Google Scholar 

  17. Sanford, G. R., Merz, W. G., Wingard, J. R., Sarache, P., Saral, R. The value of fungal surveillance cultures as predictors of systemic fungal infections. Journal of infectious Diseases 1980, 142: 503–509.

    PubMed  Google Scholar 

  18. Schimpff, S. Surveillance cultures. Journal of Infectious Diseases 1981, 144: 81–84.

    PubMed  Google Scholar 

  19. Kramer, B. S., Pizzo, P. A., Robichaud, K. J., Witesbsky, F., Wesley, R. Role of serial microbiologic surveillance and clinical evaluation in the management of cancer patients with fever and granulocytopenia. American Journal of Medicine 1982, 72: 561–568.

    PubMed  Google Scholar 

  20. Bille, J., Stockman, L., Roberts, G. D., Horstmeier, C. D., Hestrup, D. M. Evaluation of a lysis-centrifugation system for recovery of yeasts and filamentous fungi from blood. Journal of Clinical Microbiology 1983, 18: 469–471.

    PubMed  Google Scholar 

  21. Kiehn, T., Wong, B., Edwards, F., Armstrong, D. Comparative recovery of bacteria and yeasts from lysis centrifugation and a conventional blood culture system. Journal of Clinical Microbiology 1983, 18: 300–304.

    PubMed  Google Scholar 

  22. Bille, J., Edson, R., Roberts, G. Clinical evaluation of the lysis centrifugation blood culture system for the detection of fungemia and comparison with a conventional biphasic broth blood culture system. Journal of Clinical Microbiology 1984, 19: 126–128.

    PubMed  Google Scholar 

  23. Edwards, J. E. Candida endophthalmitis. In: Remington, J. S., Swartz, M. N. (ed.): Current clinical topics in infectious diseases. Volume 3. McGraw Hill, New York, 1982, p. 381–397.

    Google Scholar 

  24. Murray, H., Fialk, M., Roberts, R. Candida arthritis: a manifestation of disseminated candidiasis. American Journal of Medicine 1976, 60: 587–595.

    PubMed  Google Scholar 

  25. Noble, M., Lyne, E. Candida osteomyelitis and arthritis from hyperalimentation therapy. Journal of Bone and Joint Surgery 1974, 56, Supplement B: 825–829.

    PubMed  Google Scholar 

  26. Meunier-Carpentier, F. Significance and clinical manifestations of fungemia. In: Klastersky, J. (ed.): Infections in cancer patients. Volume 10. Raven Press, New York, 1982, p. 141–155.

    Google Scholar 

  27. Torres-Rojas, J. R., Stratton, C. W., Sanders, C. V., Horsman, T. A., Hawley, H. B., Dascomb, H. E., Vial, L. J. Candidal suppurative peripheral thrombophlebitis. Annals of Internal Medicine 1982, 96: 431–435.

    PubMed  Google Scholar 

  28. Walsh, T. J., Bustamente, C. I., Vlahov, D., Standiford, H. C. Candidal suppurative peripheral thrombophlebitis: recognition, prevention, and management. Infection Control 1986, 7: 16–22.

    PubMed  Google Scholar 

  29. Whimbey, E., Kiehn, T. E., Brannon, P., Benezra, D., Armstrong, D. Bacteremia and fungemia in patients with neoplastic disease. Journal of Infectious Diseases 1987, 155: 1328–1330.

    PubMed  Google Scholar 

  30. Eras, P., Goldstein, M., Sherlock, P. Candida infection of the gastrointestinal tract. Medicine 1972, 51: 367–379.

    PubMed  Google Scholar 

  31. Meunier, F.: Fungal infections in AIDS. In: Staquet, M., Hemmer, R., Baert, A. (ed.): Clinical aspects of AIDS and AIDS-related complex. Oxford University Press, 1986, p. 101–105.

  32. Aisner, J., Sickles, E., Schimpff, S., Young, V. M. Greene, W. H. Torulopsis glabrata pneumonitis in patients with cancer. Journal of the American Medical Association 1974, 230: 584–585.

    PubMed  Google Scholar 

  33. Masur, H., Rosen, P., Armstrong, D. Pulmonary disease caused byCandida species. American Journal of Medicine 1977, 63: 914–925.

    PubMed  Google Scholar 

  34. Tasjhjian, L. S., Abramson, J. S., Peacock, J. E. Focal hepatic candidiasis: a distinct clinical variant of candidiasis in immunocompromised patients. Reviews of Infectious Diseases 1984, 6: 689–703.

    PubMed  Google Scholar 

  35. Haron, E., Feld, R., Tuffnell, P., Patterson, B., Hasselback, R., Matlow, A. Hepatic candidiasis: an increasing problem in immunocompromised patients. American Journal of Medicine 1987, 83: 17–26.

    Google Scholar 

  36. Thaler, M., Pastakia, B., Shawker, T. H., O'Leary, T., Pizzo, P. A. Hepatic candidiasis in cancer patients. The evolving picture of the syndrome. Annals of Internal Medicine 1988, 108: 88–100.

    PubMed  Google Scholar 

  37. Marcucci, R., Whitelly, H., Armstrong, D. Common bile duct obstruction secondary to infection withCandida. Journal of Clinical Microbiology 1978, 7: 490–492.

    PubMed  Google Scholar 

  38. Schreiber, M., Black, L., Noah, Z., Shulman, S. T., Yoger, R., Venezio, S. R. Gallbladder candidiasis in a leukemic child. American Journal of Diseases of Children 1982, 136: 462–463.

    PubMed  Google Scholar 

  39. Gordon, R., Simmons, B., Appelbaum, P., Aber, R. C. Intraabdominal abscess and fungemia caused byCandida krusei. Archives of Internal Medicine, 1980, 140: 1239–1240.

    PubMed  Google Scholar 

  40. Solomkin, J., Flohr, A., Quie, P., Simmons, R. The role ofCandida in intraperitoneal infections. Surgery 1980, 88: 524–530.

    PubMed  Google Scholar 

  41. Eisenberg, E., Alpert, B., Weiss, R., Mittman, N., Soeiro, R. Rhodotorula rubra peritonitis in patients undergoing continuous ambulatory peritoneal dialysis. American Journal of Medicine 1983, 75: 349–352.

    PubMed  Google Scholar 

  42. Bayer, A. S., Blumenkrantz, M. J., Montgomerie, J. Z., Galpin, J. E., Coburn, J. W., Guze, L. B. Candida peritonitis: report of 22 cases and review of the English literature. American Journal of Medicine 1976, 61: 832–840.

    PubMed  Google Scholar 

  43. Kerr, C. M., Perfect, J. R., Craven, P. C., Jorgensen, J. H., Drutz, D. J., Shelburne, J. D., Gallis, H. A., Gutman, R. A. Fungal peritonitis in patients on continuous ambulatory peritoneal dialysis. Annals of Internal Medicine 1983, 99: 334–337.

    PubMed  Google Scholar 

  44. Boldus, R., Brown, R., Culp, D. Fungus balls in the renal pelvis. Radiology 1972, 102: 555–557.

    PubMed  Google Scholar 

  45. Dembner, A., Pfister, R. Fungal infection of the urinary tract: demonstration by antegrade pyelography and drainage by percutaneous by nephrostomy. American Journal of Roentgenology 1977, 129: 415–418.

    PubMed  Google Scholar 

  46. McDonald, D., Fagan, C. Fungus balls in the urinary bladder. American Journal of Roentgenology 1972, 114: 753–757.

    Google Scholar 

  47. Ellis, C., Spivack, M. The significance of candidemia. Annals of Internal Medicine 1967, 67: 511–522.

    PubMed  Google Scholar 

  48. Goldberg, P., Kozinn, P., Wise, G., Nouri, N., Brooks, R. B. Incidence and significance of candiduria. Journal of the American Medical Association 1979, 241: 582–584.

    PubMed  Google Scholar 

  49. Argyle, C., Schumann, G. B., Genack, L., Gregory, M. Identification of fungal casts in a patient with renal candidiasis. Human pathology 1984, 15: 480–481.

    PubMed  Google Scholar 

  50. Gregory, M. C., Schumann, G. B., Schumann, J. L., Argyle, J. C. The clinical significance ofCandida casts. American Journal of Kidney Diseases 1984, 4: 179–184.

    PubMed  Google Scholar 

  51. Bayer, A., Guze, L. Fungal arthritis. Candida arthritis: diagnostic and prognostic implications and therapeutic considerations. Seminars in Arthritis and Rheumatism 1978, 8: 142–150.

    PubMed  Google Scholar 

  52. Fainstein, V., Gilmore, C., Hopfer, R. L., Maksymiuk, A., Bodey, G. P. Septic arthritis due toCandida species in patients with cancer: report of five cases and review of the literature. Reviews of Infectious Diseases 1982, 4: 78–85.

    PubMed  Google Scholar 

  53. Gerster, J., Glauser, M., Delacretaz, F., Nguyen, T. Erosive candida arthritis in a patient with disseminated candidiasis. Journal of Rheumatology 1980, 7: 911–914.

    PubMed  Google Scholar 

  54. Gathe, J. C., Harris, R. L., Garland, B., Bradshaw, M. W., Williams, T. W. Candida osteomyelitis: report of five cases and review of the literature. American Journal of Medicine 1987, 82: 927–937.

    PubMed  Google Scholar 

  55. Lipton, S., Hickey, W., Morris, J., Loscalzo, J. Candidal infection in the central nervous system. American Journal of Medicine 1984, 76: 101–108.

    Google Scholar 

  56. Chesney, P. J., Justman, R. A., Bogdanowicz, W. M. Candida meningitis in new-born infants: a review and report of combined amphotericin B-flucytosine therapy. John Hopkins Medical Journal 1978, 142: 155–160.

    Google Scholar 

  57. Lilien, L. D., Ramamurthy, R. S., Pildes, R. S. Candida albicans meningitis in a premature neonate successfully treated with 5-fluorocytosine and amphotericin B: a case report and review of the literature. Pediatrics 1978, 61: 57–61.

    PubMed  Google Scholar 

  58. Chmel, H. Candida albicans meningitis following lumbar puncture. American Journal of Medical Sciences 1973, 266: 465–467.

    Google Scholar 

  59. McLeod, R., Remington, J.: Fungal endocarditis. In: Rahimtoola, S. (ed.): Infective endocarditis Gunne Stratton, New York, 1978, p. 211–290.

  60. Bennett, J. E. Antifungal agents. In: Mandell, G. L., Douglas, R. G., Bennett, J. E. (ed.): Principles and practice of infectious diseases. Wiley Medical, New York, 1985, p. 263–270.

    Google Scholar 

  61. Gigliotti, F., Shenep, J. L., Lott, L., Thornton, D. Induction of prostaglandin synthesis as the mechanism responsible for the chills and fever produced by infusing amphotericin B. Journal of Infectious Diseases 1987, 156: 784–789.

    PubMed  Google Scholar 

  62. Stamm, A. M., Diasio, R. B., Dismukes, W. E., Shadomy, S., Cloud, C. A., Bowles, C. A., Karam, G. H., Espinel-Ingroff, A. Toxicity of amphotericin B plus flucytosine in 194 patients with cryptococcal meningitis. American Journal of Medicine 1987, 83: 236–242.

    PubMed  Google Scholar 

  63. Drutz, D. J.: Newer antifungal agents and their use, including an update on amphotericin B and flucytosine. In: Remington, J. S., Swartz, M. N. (ed.): Current clinical topics in infectious diseases. Volume 3. McGraw-Hill, New York, 1980, p. 97–135.

    Google Scholar 

  64. Lopez-Berestein, G., Fainstein, V., Hopfer, R., Mehta, K., Sullivan, M. P., Keating, M., Rosenblum, M. G., Mehta, R., Luna, M., Hersh, E. M., Reuben, J., Juliano, R. L., Bodey, G. P. Liposomal amphotericin B for the treatment of systemic fungal infections in patients with cancer: a preliminary study. Journal of Infectious Diseases 1985, 151: 704–710.

    PubMed  Google Scholar 

  65. Lopez-Berestein, G., Bodey, G. P., Frankel, L. S., Mehta, K. Treatment of hepatosplenic fungal infections with liposomal amphotericin B. Journal of Clinical Oncology 1987, 5: 310–317.

    PubMed  Google Scholar 

  66. Sculier, J. P., Coune, A., Meunier, F., Brassinne, C., Laduron, C., Hollaert, C., Collette, N., Heymans, C., Klastersky, J. Pilot study of amphotericin B entrapped in sonicated liposomes in cancer patients with fungal infections. European Journal of Cancer and Clinical Oncology 1988, 24: 527–538.

    Google Scholar 

  67. Meunier, F., Sculier, J. P., Coune, A., Brassinne, C., Heymans, C., Laduron, C., Collette, N., Hollaert, C., Bron, D., Klastersky, J. Amphotericin B encapsulated in liposomes administered to cancer patients. Annals of the New York Academy of Sciences 1988, 544: 598–610.

    PubMed  Google Scholar 

  68. Guinet, R., Chanas, J., Goullier, A., Bonnefoy, G. Fatal septicemia due to amphotericin B-resistantCandida lusitaniae. Journal of Clinical Microbiology 1983, 18: 433–444.

    Google Scholar 

  69. Pappagianis, D., Collins, M., Hector, R., Remington, J. Development of resistance to amphotericin B inCandida lusitaniae infecting a human. Antimicrobial Agents and Chemotherapy 1979, 16: 123–126.

    PubMed  Google Scholar 

  70. Merz, W. G. Candida lusitaniae: frequency of recovery, colonization, infection, and amphotericin B resistance. Journal of Clinical Microbiology 1984, 20: 1194–1195.

    PubMed  Google Scholar 

  71. Merz, W., Sandford, G. Isolation and characterization of a polyene resistant variant ofCandida tropicalis. Journal of Clinical Microbiology 1979, 9: 677–680.

    PubMed  Google Scholar 

  72. Dick, J. D., Merz, W. G., Saral, R. Incidence of polyene-resistant yeasts recovered from clinical specimens. Antimicrobial Agents and Chemotherapy 1980, 18: 158–163.

    PubMed  Google Scholar 

  73. Powderly, W. G., Kobayashi, G. S., Herzig, G. P., Medoff, G. Amphotericin B-resistant yeast infection in severely immunocompromised patients. American Journal of Medicine 1988, 84: 826–832.

    PubMed  Google Scholar 

  74. Dick, J. D., Rosengard, B. R., Merz, W. G., Stuart, R. K., Grover, M., Hutchins, v., Saral, R. Fatal disseminated candidiasis due to amphotericin B resistantCandida guillermondii. Annals of Internal Medicine 1985, 102: 67–68.

    PubMed  Google Scholar 

  75. Seidenfeld, S. M., Cooper, B. H., Smith, J. W., Luby, J. P., Mackowiak, P. A. Amphotericin B tolerance: a characteristic ofCandida parapsilosis not shared by otherCandida species. Journal of Infectious Diseases 1983, 147: 116–119.

    PubMed  Google Scholar 

  76. Stiller, R., Bennett, J., Scholer, H., Wall, M., Polal, A., Stevens, D. A. Susceptibility of 5-fluorocytosine and prevalence of serotype in 402Candida albicans isolates in the US. Antimicrobial Agents and Chemotherapy 1982, 22: 482–487.

    PubMed  Google Scholar 

  77. Wingard, J. R. Prevention of fungal sepsis in patients with prolonged neutropenia: a randomized, double-blind, placebo-controlled trial of intravenous miconazole. American Journal of Medicine 1987, 83: 1103–1110.

    PubMed  Google Scholar 

  78. Horsburgh, C., Kirkpatrick, C. Long-term therapy of chronic mucocutaneous candidosis with ketoconazole: experience with twenty-one patients. American Journal of Medicine 1983, 74: 23–29.

    Google Scholar 

  79. Fazio, R. A., Wickremesinghe, P. C., Arsura, E. L. Ketoconazole treatment of candida esophagitis: a prospective study of 12 cases. American Journal of Gastroenterology 1983, 78: 261–264.

    PubMed  Google Scholar 

  80. Symoens, J., Moens, M., Dom, J., Sheijgrond, H., Dony, J., Schuermans, V., Legendre, R., Finsestine, N. An evaluation of two years of clinical experience with ketoconazole. Reviews of Infectious Diseases 1980, 2: 674–687.

    PubMed  Google Scholar 

  81. Meunier, F. Serum fungistatic and fungicidal activity in volunteers receiving antifungal agents. European Journal of Clinical Microbiology 1986, 5: 103–109.

    PubMed  Google Scholar 

  82. Daneshemend, T. Ketoconazole-cyclosporin interaction. Lancet, 1982, ii: 1342–1343.

    Google Scholar 

  83. Ferguson, R., Sutherland, D., Simmons, R., Najarian, J. S.: Ketoconazole, cyclosporin metabolism and renal transplantation Lancet, 1982, ii: 882–883.

  84. Morgenstern, G., Powels, R., Robinson, B., McElwain, T. J. Cyclosporin interaction with ketoconazole and melphalan. Lancet, 1982, ii: 1342.

    Google Scholar 

  85. Pont, A., William, P., Azhar, S., Reitz, R. E., Bochra, C., Smith, E. R., Stevens, D. A. Ketoconazole blocks testosterone synthesis. Archives of Internal Medicine 1982, 142: 2137–2140.

    PubMed  Google Scholar 

  86. Pont, A., William, P., Loose, D., Feldman, D., Reitz, R. E., Bochra, C., Stevens, D. A. Ketoconazole blocks adrenal steroids synthesis. Annals of Internal Medicine 1982, 97: 370–372.

    PubMed  Google Scholar 

  87. Saag, M. S., Dismuskes, W. E. Azole antifungal agents: emphasis on new triazoles. Antimicrobial Agents and Chemotherapy, 1988, 32: 1–8.

    PubMed  Google Scholar 

  88. Fromtling, R. A. Overview of medically important antifungal azole derivatives. Clinical Microbiological Reviews 1988, 147: 116–119.

    Google Scholar 

  89. Hay, R. J., Dupont, B., Graybill, J. R. (ed.): First International Symposium on Itraconazole. Reviews of Infectious Diseases 1987, 9, Supplement 1: S1–S152.

  90. Meunier, F., Gerain, J., Snoeck, R., Libotte, F., Lambert, C., Ceuppens, A. M. Fluconazole therapy of orophyaryngeal candidiasis in cancer patients. In: Fromtling, R. A. (ed.): Recent trends in the discovery, development and evaluation of antifungal agents. J. R. Prouss, Barcelona, 1987, p. 169–174.

    Google Scholar 

  91. Dupont, B., Drouhet, E. Fluconazole in the management of oropharyngeal candidiasis in a predominantly HIV antibody-positive group of patients. Journal of Medical Veterinary Mycology 1988, 26: 67–71.

    PubMed  Google Scholar 

  92. Pizzo, P. A., Robichaud, K. J., Gill, F. A., Witebsky, F. Empiric antibiotic and antifungal therapy for cancer patients with prolonged fever and granulocytopenia. American Journal of Medicine 1982, 72: 101–111.

    PubMed  Google Scholar 

  93. Holleran, W. M., Wilbur, J. R., DeGregorio, M. G. Empiric amphotericin B therapy in patients with acute leukemia. Reviews of Infectious Diseases 1985, 7: 619–624.

    PubMed  Google Scholar 

  94. Fainstein, V., Bodey, G. P., Elting, L., Maksymiuk, A., Keating, M., McCredie, K. B. Amphotericin B or ketoconazole therapy of fungal infections in neutropenic cancer patients. Antimicrobial Agents and Chemotherapy 1987, 31: 11–15.

    PubMed  Google Scholar 

  95. Meunier, F. Prevention of opportunistic mycoses in immunocompromised patients. Reviews of Infectious Diseases 1987, 9: 408–416.

    PubMed  Google Scholar 

  96. Owens, M., Nightingale, C., Schweizer, R., Schauer, P., Dekker, P., Quintiliani, R. Prophylaxis of oral candidiasis with clotrimazole troches. Archives of Internal Medicine 1984, 144: 290–293.

    PubMed  Google Scholar 

  97. Jones, P. G., Kauffmann, C. A., McAuliffe, L. S., Liepman, M. K., Bergman, A. G. Efficacy of ketoconazole versus nystatin in prevention of fungal infections in neutropenic patients. Archives of Internal Medicine 1984, 144: 549–551.

    PubMed  Google Scholar 

  98. Meunier-Carpentier, F., Cruciani, M., Klastersky, J. Oral prophylaxis with miconazole or ketoconazole of invasive fungal disease in neutropenic cancer patients. European Journal of Cancer and Clinical Oncology 1983, 19: 43–48.

    Google Scholar 

  99. Estey, E., Maksymiuk, A., Smith, T., Fainstein, V., Keating, M., McCredie, K. B., Freireich, E. M., Bodey, G. P. Infection prophylaxis in acute leukemia. Archives of Internal Medicine, 1984, 144: 1562–1568.

    PubMed  Google Scholar 

  100. Meunier, F., Leleux, A., Snoeck, R., Gérain, J., Lambert, C., Ceuppens, A. M. Chemoprophylaxis of fungal infections. In: Holmberg, K., Meyer, R. (ed.): Diagnosis and therapy of systemic fungal infections. Raven Press, New York, 1989, p. 167–177.

    Google Scholar 

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Meunier, F. Candidiasis. Eur. J. Clin. Microbiol. Infect. Dis. 8, 438–447 (1989). https://doi.org/10.1007/BF01964058

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