Pleural Diffusion of Voriconazole in a Patient with Aspergillus fumigatus Empyema Thoracis

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Pleural diffusion of voriconazole in a patient with Aspergillus fumigatus empyema thoracis.

Fungal empyema is an emerging clinical entity associated with a high mortality rate (1). We describe a case of a patient with empyema thoracis due to Aspergillus fumigatus successfully treated by chest tube drainage associated with voriconazole (VZ). Pleural concentrations of VZ demonstrated adequate pleural diffusion of this drug. An 82-year-old patient was admitted for weight loss and a left ...

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Aspergillus fumigatus spondylodiskitis in renal transplant patient: voriconazole experience.

The incidence of invasive aspergillosis has increased after solid organ transplant. However, aspergillus osteomyelitis in vertebrae is rare. We report a case of aspergillus spondylodiskitis after pulmonary aspergillosis in a renal transplant recipient. He was treated by antifungal therapy and surgical intervention. The transplantist should be alert for a diagnosis of aspergillus spondylodiskiti...

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Aspergillus fumigatus empyema, arthritis, and calcaneal osteomyelitis in a lung transplant patient successfully treated with posaconazole.

A 64-year-old male with Aspergillus fumigatus infection that had disseminated from the lung to the ankle and adjacent bone was treated successfully with posaconazole after therapy with itraconazole and amphotericin B lipid complex failed. Marked clinical improvement occurred within 6 weeks of initiation of posaconazole therapy; after 6 months, infection had resolved at all sites. The patient ha...

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Empyema Thoracis

Epmyema thoracis is associated with high mortality ranging between 6% to 24%. The incidence of empyema is increasing in both children and adults; the cause of this surge is unknown. Most cases of empyema complicate community- or hospital-acquired pneumonia but a proportion results from iatrogenic causes or develops without pneumonia. Parapneumonic effusions (PPE) develop in about one half of th...

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Neonatal Empyema Thoracis: a case report

A term newborn was admitted to the neonatal intensive care unit immediately after the birth, with respiratory distress due to congenital pneumonia. With progression of respiratory symptoms, empyema thoracis was diagnosed due to the right massive purulent pleural effusion in chest X ray. Treatment was fulfilled by ventilator support and pus drainage by means of two chest tubes and appropriate an...

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ژورنال

عنوان ژورنال: Antimicrobial Agents and Chemotherapy

سال: 2004

ISSN: 0066-4804,1098-6596

DOI: 10.1128/aac.48.3.1065.2004