Authors
Joerg J Vehreschild, Andrea Birtel, Maria JGT Vehreschild, Blasius Liss, Fedja Farowski, Matthias Kochanek, Michal Sieniawski, Angela Steinbach, Kerstin Wahlers, Gerd Fätkenheuer, Oliver A Cornely
Publication date
2013/8/1
Source
Critical reviews in microbiology
Volume
39
Issue
3
Pages
310-324
Publisher
Taylor & Francis
Description
Mucormycosis is an emerging invasive fungal infection, primarily affecting immunocompromised patients. The disease is difficult to diagnose and mortality reaches 40% even if treated adequately. Depending on site of infection and risk factors, surgical debridement in combination with systemically active antifungal drugs are the mainstay treatment strategies. Lipid-based amphotericin B is the treatment of choice for first-line therapy while posaconazole may be a promising alternative. We performed a PubMed search on reports of patients with mucormycosis treated with posaconazole. From 2003 to 2011, 96 cases have been published. Diagnosis was based on histology alone in 2 (2.1%) and microbiological evidence in 67 (69.8%), while no data on the diagnostic approach was reported in 27 (28.1%) patients. The most frequent pathogens were Rhizopus spp. (31.2%), followed by Mucor spp. (14.6%). The site of …
Total citations
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Scholar articles
JJ Vehreschild, A Birtel, MJGT Vehreschild, B Liss… - Critical reviews in microbiology, 2013