An unusual case of pulmonary invasive aspergillosis and aspergilloma cured with voriconazole in a patient with cystic fibrosis.

The development of pulmonary aspergilloma and invasive aspergillosis is a rare complication of cystic fibrosis. We describe a 29-year-old patient with cystic fibrosis who had invasive pulmonary aspergillosis that was not cured by amphotericin B, liposomal amphotericin B, or itraconazole. This patient was subsequently successfully treated and cured with the novel antifungal agent voriconazole.

[1]  D. Denning Commentary: unusual manifestations of aspergillosis. , 1995, Thorax.

[2]  E. Thiel,et al.  Clinical presentation of invasive aspergillosis , 1997, Mycoses.

[3]  M. Hayes,et al.  Three cases of pulmonary aspergilloma in adult patients with cystic fibrosis. , 1995, Thorax.

[4]  M. Rosenthal,et al.  Fatal invasive aspergillosis in an adolescent with cystic fibrosis , 1999, Pediatric pulmonology.

[5]  J. Reynolds,et al.  Treatment of pulmonary aspergilloma in cystic fibrosis by percutaneous instillation of amphotericin B via indwelling catheter. , 1995, Thorax.

[6]  N. Sans,et al.  CT-guided percutaneous treatment of inoperable pulmonary aspergillomas: a study of 40 cases. , 1998, European journal of radiology.

[7]  P. Fenaux,et al.  Efficacy of amphotericin B encapsulated in liposomes (AmBisome) in the treatment of invasive fungal infections in immunocompromised patients. , 1991, The Journal of antimicrobial chemotherapy.

[8]  R. Yeates,et al.  Influence of concomitant food intake on the gastrointestinal absorption of fluconazole and itraconazole in Japanese subjects. , 1994, International journal of clinical pharmacology research.

[9]  R. Mcloughlin,et al.  Aspergilloma complicating cystic fibrosis. , 1993, AJR. American journal of roentgenology.

[10]  A. Bayer,et al.  Pulmonary aspergilloma. Diagnostic and therapeutic considerations. , 1983, Archives of internal medicine.

[11]  N. Sans,et al.  [CT-guided percutaneous treatment of inoperable pulmonary aspergilloma. Apropos of 42 cases]. , 1998, Journal de radiologie.

[12]  Richard Sylvester,et al.  Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis. , 2002, The New England journal of medicine.

[13]  Janelle A Sabo,et al.  Voriconazole: A New Triazole Antifungal , 2000, The Annals of pharmacotherapy.

[14]  Andriole Vt Aspergillus infections: problems in diagnosis and treatment. , 1996 .

[15]  S. Takamoto,et al.  Thoracoscopic resection of the pulmonary aspergilloma: report of two cases. , 2000, Chest.

[16]  M. Pearson,et al.  Audit of bronchial artery embolisation in a specialist respiratory centre. , 1992, Quality in health care : QHC.

[17]  M. Rinaldi,et al.  In vitro activity of voriconazole against selected fungi. , 1998, Medical mycology.

[18]  E. Thiel,et al.  Efficacy and safety of voriconazole in the treatment of acute invasive aspergillosis. , 2002, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[19]  L. Ajello,et al.  Clinical and mycological spectra of Wangiella dermatitidis infections * , 1993, Mycoses.