Report of a successful treatment of pulmonary Cunninghamella bertholletiae infection with liposomal amphotericin and posaconazole in a child with GvHD and review of the literature

J Pediatr Hematol Oncol. 2010 Mar;32(2):85-7. doi: 10.1097/MPH.0b013e3181c2bdce.

Abstract

Zygomycosis is an emerging, opportunistic fungal infection particularly affecting immunocomprised patients. We report the case of a 10-year-old girl who developed pulmonary zygomycosis because of Cunninghamella bertholletiae 1 year after undergoing bone marrow transplantation complicated with severe cutaneous and digestive graft-versus-host disease. Treatment with surgery and liposomal amphotericin B followed by posaconazole successfully treated the infection.

Publication types

  • Case Reports

MeSH terms

  • Amphotericin B / administration & dosage*
  • Bone Marrow Transplantation / adverse effects
  • Child
  • Cunninghamella*
  • Drug Therapy, Combination
  • Female
  • Graft vs Host Disease / drug therapy*
  • Humans
  • Lung Diseases, Fungal / drug therapy*
  • Mucormycosis / drug therapy*
  • Triazoles / administration & dosage*

Substances

  • Triazoles
  • liposomal amphotericin B
  • posaconazole
  • Amphotericin B