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  • Title: Breakthrough zygomycosis on posaconazole prophylaxis after allogeneic stem cell transplantation.
    Author: Mousset S, Bug G, Heinz WJ, Tintelnot K, Rickerts V.
    Journal: Transpl Infect Dis; 2010 Jun; 12(3):261-4. PubMed ID: 19954497.
    Abstract:
    Antifungal prophylaxis with posaconazole (POS) has been shown to decrease the mortality associated with invasive fungal infections in high-risk patients. We report on a patient, with severe graft-versus-host disease after allogeneic stem cell transplantation, who developed proven pneumonia due to Rhizopus microsporus after 40 days of POS prophylaxis (fasting serum levels: 691-904 ng/mL). Despite combination treatment with liposomal amphotericin B and POS for 39 days, the patient died from pulmonary hemorrhage. This case highlights the need for continued awareness of breakthrough zygomycosis in patients receiving POS.
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