[Pulmonary mucormycosis: benefit of aerosol amphotericin B?]

Rev Mal Respir. 2001 Jun;18(3):309-13.
[Article in French]

Abstract

Mucormycosis is an opportunistic fungal infection usually observed in diabetic or neutropenic patients. Prognosis is serious with a high rate of mortality. Intravenous amphotericin B is the gold standard treatment. The main side effect is renal failure. Liposomal amphotericin B (AmBisome(R)) is not nephrotoxic and can be proposed as an alternative treatment although its cost is high. We report a case of mucormycosis in a diabetic woman who developed renal failure after intravenous amphotericin B treatment. AmBisome(R) could not be used for long-term treatment due to its high case. The patient was given nebulized amphotericin B and achieved recovery. This kind of treatment may provide a useful alternative to intravenous amphotericin B.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Administration, Inhalation
  • Aerosols
  • Aged
  • Amphotericin B / administration & dosage*
  • Amphotericin B / adverse effects
  • Amphotericin B / pharmacology*
  • Antifungal Agents / administration & dosage*
  • Antifungal Agents / adverse effects
  • Antifungal Agents / pharmacology*
  • Diabetes Complications
  • Female
  • Humans
  • Infusions, Intravenous
  • Lung Diseases, Fungal / drug therapy*
  • Lung Diseases, Fungal / pathology
  • Mucormycosis / drug therapy*
  • Mucormycosis / pathology
  • Nebulizers and Vaporizers
  • Renal Insufficiency / chemically induced*

Substances

  • Aerosols
  • Antifungal Agents
  • Amphotericin B