Voriconazole brain tissue levels in rhinocerebral aspergillosis in a successfully treated young woman

Thomas Elter, Michal Sieniawski*, Axel Gossmann, Claudia Wickenhauser, Ursula Schröder, Harald Seifert, Johannes Kuchta, Jürgen Burhenne, Klaus Dieter Riedel, Gerd Fätkenheuer, Oliver A. Cornely

*Corresponding author for this work
41 Citations (Scopus)

Abstract

Invasive aspergillosis of the central nervous system has a mortality rate exceeding 90%. We describe a 29-year-old woman with a medical history of chronic polyarthritis who developed a proven rhinocerebral Aspergillus fumigatus infection refractory to first-line treatment with liposomal amphotericin B. The patient responded successfully to salvage combination treatment with voriconazole and caspofungin. Furthermore, for the first time, voriconazole levels in an intracerebral abscess were measured in this patient undergoing voriconazole oral therapy.

Original languageEnglish
JournalInternational Journal of Antimicrobial Agents
Volume28
Issue number3
Pages (from-to)262-265
Number of pages4
ISSN0924-8579
DOIs
Publication statusPublished - 09.2006

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