Coccidioidomycosis and heart transplantation

Autor: K A, Hall, G K, Sethi, L J, Rosado, J D, Martinez, C L, Huston, J G, Copeland
Rok vydání: 1993
Předmět:
Zdroj: The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation. 12(3)
ISSN: 1053-2498
Popis: Eleven episodes of Coccidioides immits infection (cocci) were documented in nine of 199 heart transplant recipients. Cocci was confirmed by fungal cultures and treated with 1 gram of intravenous amphotericin B, after which all patients were put on ketoconazole 200 mg orally twice a day. Two recurrent cocci episodes were noted, both occurring when ketoconazole maintenance therapy was discontinued. When compared with the group of patients without cocci, actuarial survival at 1 and 5 years was identical. We conclude that cocci does not seem to affect the early and late clinical outcome and that prophylactic use of ketoconazole (or other oral antifungal agents) after successful treatment of the initial infection is recommended.
Databáze: OpenAIRE