Success of Combination Therapy with Isavuconazole in a Pediatric Patient with Breakthrough Invasive Aspergillosis

J Pediatr Infect Dis
DOI: 10.1055/s-0044-1788048

1   Department of Pediatric Infections and Diseases, Ankara Bilkent City Hospital, Ankara, Türkiye

,

Selin Yildiz

1   Department of Pediatric Infections and Diseases, Ankara Bilkent City Hospital, Ankara, Türkiye

,

Avni Merter Keçeli

2   Department of Radiology, Ankara Bilkent City Hospital, Ankara, Türkiye

,

Saliha Kanik-Yüksek

1   Department of Pediatric Infections and Diseases, Ankara Bilkent City Hospital, Ankara, Türkiye

,

Zeliha Güzelküçük

3   Division of Pediatric Hematology/Oncology, Ankara Bilkent City Hospital, Ankara, Türkiye

,

Sema Turan Uzuntaş

4   Department of Medical Microbiology, Ankara Bilkent City Hospital, Ankara, Türkiye

,

Belgin Gülhan

1   Department of Pediatric Infections and Diseases, Ankara Bilkent City Hospital, Ankara, Türkiye

,

Elif Ayça Şahin

5   Department of Medical Microbiology, Gazi University Faculty of Medicine, Ankara, Türkiye

,

Aslı Nur Özkaya Parlakay

1   Department of Pediatric Infections and Diseases, Ankara Bilkent City Hospital, Ankara, Türkiye

,

Neşe Yarali

3   Division of Pediatric Hematology/Oncology, Ankara Bilkent City Hospital, Ankara, Türkiye

› Author Affiliations Funding/Support The author(s) received no financial support for the research, authorship, and/or publication of this article.
› Further Information Also available at   SFX Search  Buy Article Permissions and Reprints Abstract

The increasing incidence of invasive fungal infections, coupled with the growing population of immunocompromised patients, has led to an increased need for antifungal agents. The newest azole, isavuconazole, plays an important role in the treatment of invasive aspergillosis in adults due to its broad spectrum, tolerability, and no need for therapeutic drug monitoring. This agent, which has not yet been approved for use in children, has significant problems with drug supply in Türkiye. We present the treatment response to isavuconazole combination therapy used in salvage treatment in a patient with breakthrough invasive aspergillosis, who had treatment failure with different antifungal combination treatment options and surgical resection.

Keywords aspergillosis - isavuconazole - salvage treatment - pediatric Role of Funder/Sponsor (if any)

None.

Publication History

Received: 11 January 2024

Accepted: 12 June 2024

Article published online:
08 July 2024

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