Skip to main content
Top
Published in: European Journal of Clinical Microbiology & Infectious Diseases 5/2003

01-05-2003 | Concise Article

Two Cases of Cerebral Aspergillosis Successfully Treated with Voriconazole

Authors: V. de Lastours, A. Lefort, M. Zappa, V. Dufour, N. Belmatoug, B. Fantin

Published in: European Journal of Clinical Microbiology & Infectious Diseases | Issue 5/2003

Login to get access

Abstract

Described here are two cases of cerebral aspergillosis successfully treated with voriconazole after the failure of first-line treatment with amphotericin B deoxycholate. In both cases, clinical and radiological cure was achieved within 6 weeks. Voriconazole should be considered as first-line therapy for cerebral aspergillosis.
Literature
1.
go back to reference Walsh TJ, Hier DB, Caplan LR (1985) Aspergillosis of the central nervous system: clinicopathological analysis of 17 patients. Ann Neurol 18:574–582 Walsh TJ, Hier DB, Caplan LR (1985) Aspergillosis of the central nervous system: clinicopathological analysis of 17 patients. Ann Neurol 18:574–582
2.
go back to reference Torre-Cisneros J, Lopez OL, Kusne S, Martinez AJ, Starzl TE, Simmons RL, Martin M (1993) Aspergillosis in organ transplantation: a clinicopathological study. J Neurol Neurosurg Psychiatry 56:188–193PubMed Torre-Cisneros J, Lopez OL, Kusne S, Martinez AJ, Starzl TE, Simmons RL, Martin M (1993) Aspergillosis in organ transplantation: a clinicopathological study. J Neurol Neurosurg Psychiatry 56:188–193PubMed
3.
go back to reference Boes B, Bashir R, Boes C, Hahn F, McConnell JR, McComb R (1994) Central nervous system aspergillosis. Analysis of 26 patients. J Neuroimaging 4:123–129PubMed Boes B, Bashir R, Boes C, Hahn F, McConnell JR, McComb R (1994) Central nervous system aspergillosis. Analysis of 26 patients. J Neuroimaging 4:123–129PubMed
4.
go back to reference Stevens DA, Kan VL, Judson MA, Morrison VA, Dummer S, Denning DW, Bennett JE, Walsh TJ, Patterson TF, Pankey GA (2000) Practice guidelines for diseases caused by Aspergillus. Infectious Diseases Society of America. Clin Infect Dis 30:696–709PubMed Stevens DA, Kan VL, Judson MA, Morrison VA, Dummer S, Denning DW, Bennett JE, Walsh TJ, Patterson TF, Pankey GA (2000) Practice guidelines for diseases caused by Aspergillus. Infectious Diseases Society of America. Clin Infect Dis 30:696–709PubMed
5.
go back to reference Denning DW (1998) Invasive aspergillosis. Clin Infect Dis 26:781–805PubMed Denning DW (1998) Invasive aspergillosis. Clin Infect Dis 26:781–805PubMed
6.
go back to reference Denning DW, Lee JY, Hostetler JS, Pappas P, Kauffman CA, Dewsnup DH, Galgiani JN, Graybill JR, Sugar AM, Catanzaro A (1994) NIAID Mycoses Study Group Multicenter trial of oral itraconazole therapy for invasive aspergillosis. Am J Med 97:135–144 Denning DW, Lee JY, Hostetler JS, Pappas P, Kauffman CA, Dewsnup DH, Galgiani JN, Graybill JR, Sugar AM, Catanzaro A (1994) NIAID Mycoses Study Group Multicenter trial of oral itraconazole therapy for invasive aspergillosis. Am J Med 97:135–144
7.
go back to reference Karim M, Alam M, Shah AA, Ahmed R, Sheikh H (1997) Chronic invasive aspergillosis in apparently immunocompetent hosts. Clin Infect Dis 24:723–733PubMed Karim M, Alam M, Shah AA, Ahmed R, Sheikh H (1997) Chronic invasive aspergillosis in apparently immunocompetent hosts. Clin Infect Dis 24:723–733PubMed
8.
go back to reference Coleman JM, Hogg GG, Rosenfeld JV, Waters KD (1995) Invasive central nervous system aspergillosis: cure with liposomal amphotericin B, itraconazole, and radical surgery: case report and review of the literature. Neurosurgery 36:858–863PubMed Coleman JM, Hogg GG, Rosenfeld JV, Waters KD (1995) Invasive central nervous system aspergillosis: cure with liposomal amphotericin B, itraconazole, and radical surgery: case report and review of the literature. Neurosurgery 36:858–863PubMed
9.
go back to reference Denning DW, Stevens DA (1990) Antifungal and surgical treatment of invasive aspergillosis: review of 2,121 published cases. Rev Infect Dis 12:1147–1201 Denning DW, Stevens DA (1990) Antifungal and surgical treatment of invasive aspergillosis: review of 2,121 published cases. Rev Infect Dis 12:1147–1201
10.
go back to reference Denning DW (1996) Therapeutic outcome of invasive aspergillosis. Clin Infect Dis 23:608–615PubMed Denning DW (1996) Therapeutic outcome of invasive aspergillosis. Clin Infect Dis 23:608–615PubMed
11.
go back to reference Hoffman HL, Rathbun RC (2002) Review of the safety and efficacy of voriconazole. Expert Opin Investig Drugs 11:409–429PubMed Hoffman HL, Rathbun RC (2002) Review of the safety and efficacy of voriconazole. Expert Opin Investig Drugs 11:409–429PubMed
12.
go back to reference Jezequel SG, Clark M, Evans K, Roffey S, Wastall P, Webster R (1995) UK-109,496, a novel, wide spectrum triazole derivative for the treatment of fungal infections: disposition on animals. In: Programs and Abstracts of the 35th Interscience Conference on Antimicrobial Agents and Chemotherapy. Abstract no. F-77 Jezequel SG, Clark M, Evans K, Roffey S, Wastall P, Webster R (1995) UK-109,496, a novel, wide spectrum triazole derivative for the treatment of fungal infections: disposition on animals. In: Programs and Abstracts of the 35th Interscience Conference on Antimicrobial Agents and Chemotherapy. Abstract no. F-77
13.
go back to reference Denning DW (2002) Efficacy and safety of voriconazole in the treatment of acute invasive aspergillosis. Clin Infect Dis 34:573–571CrossRef Denning DW (2002) Efficacy and safety of voriconazole in the treatment of acute invasive aspergillosis. Clin Infect Dis 34:573–571CrossRef
14.
go back to reference Schwartz S, Milatovic D, Thiel E (1997) Successful treatment of cerebral aspergillosis with a novel triazole (voriconazole) in a patient with acute leukaemia. Br J Haematol 97:663–665 Schwartz S, Milatovic D, Thiel E (1997) Successful treatment of cerebral aspergillosis with a novel triazole (voriconazole) in a patient with acute leukaemia. Br J Haematol 97:663–665
15.
go back to reference Herbrecht R, Denning DW, Patterson TF (2002) Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis. N Engl J Med 347:408–415PubMed Herbrecht R, Denning DW, Patterson TF (2002) Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis. N Engl J Med 347:408–415PubMed
16.
go back to reference Shellito JE, Quan Zheng M, Ye P, Ruan S, Shean MK, Kolls J (2001) Effect of alcohol consumption on host release of interleukin-17 during pulmonary infection with Klebsiella pneumoniae. Alcohol Clin Exp Res 25:872–881PubMed Shellito JE, Quan Zheng M, Ye P, Ruan S, Shean MK, Kolls J (2001) Effect of alcohol consumption on host release of interleukin-17 during pulmonary infection with Klebsiella pneumoniae. Alcohol Clin Exp Res 25:872–881PubMed
17.
go back to reference Ascah KJ, Hyland RH, Hutcheon MA, Urbanski SJ, Pruzanski W, St Louis EL, Jones DP, Keystone EC (1984) Invasive aspergillosis in a "healthy" patient. Can Med Assoc J 131:332–335PubMed Ascah KJ, Hyland RH, Hutcheon MA, Urbanski SJ, Pruzanski W, St Louis EL, Jones DP, Keystone EC (1984) Invasive aspergillosis in a "healthy" patient. Can Med Assoc J 131:332–335PubMed
18.
go back to reference Lortholary O, Meyohas MC, Dupont B, Cadranel J, Salmon-Ceron D, Peyramond D, Simonin D (1993) Invasive aspergillosis in patients with acquired immunodeficiency syndrome: report of 33 cases. French Cooperative Study Group on Aspergillosis in AIDS. Am J Med 95:177–187PubMed Lortholary O, Meyohas MC, Dupont B, Cadranel J, Salmon-Ceron D, Peyramond D, Simonin D (1993) Invasive aspergillosis in patients with acquired immunodeficiency syndrome: report of 33 cases. French Cooperative Study Group on Aspergillosis in AIDS. Am J Med 95:177–187PubMed
Metadata
Title
Two Cases of Cerebral Aspergillosis Successfully Treated with Voriconazole
Authors
V. de Lastours
A. Lefort
M. Zappa
V. Dufour
N. Belmatoug
B. Fantin
Publication date
01-05-2003
Publisher
Springer-Verlag
Published in
European Journal of Clinical Microbiology & Infectious Diseases / Issue 5/2003
Print ISSN: 0934-9723
Electronic ISSN: 1435-4373
DOI
https://doi.org/10.1007/s10096-003-0934-2

Other articles of this Issue 5/2003

European Journal of Clinical Microbiology & Infectious Diseases 5/2003 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine