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Dornbusch, HJ; Urban, CE; Pinter, H; Ginter, G; Fotter, R; Becker, H; Miorini, T; Berghold, C.
Treatment of invasive pulmonary aspergillosis in severely neutropenic children with malignant disorders using liposomal amphotericin B (AmBisome), granulocyte colony-stimulating factor, and surgery: report of five cases.
Pediatr Hematol Oncol. 1995; 12(6):577-586 Doi: 10.3109/08880019509030772 (- Case Report)
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Leading authors Med Uni Graz
Dornbusch Hans Jürgen
Co-authors Med Uni Graz
Fotter Richard
Pinter Hans
Urban Ernst-Christian
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Abstract:
Five children with malignancies developed invasive pulmonary aspergillosis during chemotherapy-induced neutropenia. All patients were treated with liposomal amphotericin B and human recombinant granulocyte colony-stimulating factor. Two patients did not recover from bone marrow aplasia and died from organ-infiltrating fungal invasion. Two patients who recovered from bone marrow aplasia survived after surgery of the pulmonary lesions. The fifth patient had a complete resolution of invasive pulmonary aspergillosis after neutrophil recovery without surgical intervention. We conclude that not only the antifungal treatment but also the recovery of granulocytes are important in localizing invasive forms of Aspergillus infections in patients with profound immunosuppression.
Find related publications in this database (using NLM MeSH Indexing)
Adolescent -
Amphotericin B - administration and dosage
Anti-Bacterial Agents - administration and dosage
Antibiotics, Antifungal - administration and dosage
Aspergillosis - drug therapy
Child - drug therapy
Child, Preschool - drug therapy
Drug Carriers - drug therapy
Female - drug therapy
Granulocyte Colony-Stimulating Factor - administration and dosage
Humans - administration and dosage
Liposomes - administration and dosage
Lung Diseases, Fungal - drug therapy
Male - drug therapy
Neoplasms - complications
Neutropenia - complications

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