Antifungals in a case of basidiobolomycosis: role and limitations.


Journal

BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291

Informations de publication

Date de publication:
30 Sep 2019
Historique:
entrez: 2 10 2019
pubmed: 2 10 2019
medline: 29 2 2020
Statut: epublish

Résumé

A 10-year-old Saudi boy was diagnosed to have basidiobolomycosis after a stormy course of his ailment. Therapy was initiated with intravenous antifungal, voriconazole, which was well tolerated for 6 weeks except for local excoriation at the site of ileostomy. He developed drug-induced hepatitis on oral voriconazole, therefore, switched to oral itraconazole following which he experienced severe chest pain. Alternatively, co-trimoxazole (bactrim) an antibacterial with antifungal activity was prescribed but he had the intolerance to it as well. Unfortunately, posaconazole as an alternative antifungal was not available in our centre. We report here a Saudi boy who developed an intolerance to most common antifungals used clinically 6 weeks after the therapy was initiated.

Identifiants

pubmed: 31570348
pii: 12/9/e230206
doi: 10.1136/bcr-2019-230206
pmc: PMC6768487
pii:
doi:

Substances chimiques

Antifungal Agents 0
Itraconazole 304NUG5GF4
Voriconazole JFU09I87TR

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© BMJ Publishing Group Limited 2019. No commercial re-use. See rights and permissions. Published by BMJ.

Déclaration de conflit d'intérêts

Competing interests: None declared.

Références

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pubmed: 26334903
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pubmed: 22918871
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pubmed: 25213739
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pubmed: 23115443
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pubmed: 25593711
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pubmed: 28971777
Ann Saudi Med. 2013 Sep-Oct;33(5):500-4
pubmed: 24188947
J Coll Physicians Surg Pak. 2017 Aug;27(8):508-510
pubmed: 28903846

Auteurs

Anjum Saeed (A)

Department of Pediatric Medicine, Children's Hospital and Institute of Child Health, Lahore, Pakistan.

Asaad M Assiri (AM)

Department of Pediatric, King Saud University College of Medicine, Riyadh, Saudi Arabia.

Ishfaq A Bukhari (IA)

Department of Pharmacology, King Saud University College of Medicine, Riyadh, Saudi Arabia.

Rasha Assiri (R)

Department of Basic Sciences, College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.

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Classifications MeSH