Focus on invasive mucormycosis in paediatric haematology oncology patients: a series of 11 cases

被引:14
|
作者
Phulpin-Weibel, Aurelie [1 ]
Rivier, Alexandre [2 ]
Leblanc, Thierry [3 ]
Bertrand, Yves [4 ]
Chastagner, Pascal [1 ]
机构
[1] Hop Brabois Enfant, Serv Hematooncol Pediat, F-54511 Vandoeuvre Les Nancy, France
[2] CHU Nancy, Hop Brabois, Serv Parasitol Mycol, Vandoeuvre Les Nancy, France
[3] Hop Robert Debre, Serv Pediat Hematol, F-75019 Paris, France
[4] Hosp Civils Lyon, IHOP, Serv Hematooncol Pediat, Lyon, France
关键词
Mucormycosis; children; cancer; CELL TRANSPLANTATION; FUNGAL-INFECTIONS; ZYGOMYCOSIS; VORICONAZOLE; MANAGEMENT; DIAGNOSIS; DISEASE; TRIAL;
D O I
10.1111/myc.12010
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Mucormycosis has emerged as an increasingly important infection in oncology centres with high mortality, especially in severely immunocompromised patients. We carried out a retrospective study of 11 children with mucormycosis treated in seven French oncology-haematology paediatric wards during the period from 1991 to 2011. Lichtheimia corymbifera and Mucor spp. were the predominant pathogens. Treatment regimens included antifungal therapy, reversal of underlying predisposing risk factors and surgical debridement. Although mucormycosis is associated with high mortality, this infection could be cured in eight of our cases of severely immunocompromised paediatric cancer patients.
引用
收藏
页码:236 / 240
页数:5
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