Treatment of hepatosplenic candidiasis with liposomal-amphotericin B.
Nine patients with hematologic malignancies developed fungal infections, predominantly involving the liver and spleen. Eight patients had biopsy-documented progressive candidiasis and one had an unclassified fungus. The patients were treated with liposomal-amphotericin B (L-AmpB) after their fungal infection progressed during treatment with standard intravenous (IV) AmpB (Fungizone; E. R. Squibb & Son, Princeton, NJ) and/or other antifungals. Eight patients (88.8%) were cured of their fungal infection, and one showed improvement after treatment. Minor acute toxicity and no chronic toxicity were associated with the administration of L-AmpB. L-AmpB is a safe and effective therapeutic method for treating fungal infections that have invaded the liver and spleen even when they are refractory to conventional anti-fungal therapy.[1]References
- Treatment of hepatosplenic candidiasis with liposomal-amphotericin B. Lopez-Berestein, G., Bodey, G.P., Frankel, L.S., Mehta, K. J. Clin. Oncol. (1987) [Pubmed]
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