播散性毛霉病合并曲霉感染患者应用两性霉素B脂质体抗真菌治疗和不良反应处置

    Liposomal Amphotericin B Antifungal Therapy and Adverse Reaction Management in a Patient with Disseminated Mucormycosis Complicated by Aspergillus Infection

    • 摘要:
      目的 探讨1例临床罕见的播散性毛霉病合并曲霉混合感染病例的抗真菌诊疗过程。
      方法 依据循证证据分析患者的抗真菌治疗方案,密切监测临床疗效,并关注可能出现的药物不良反应及对症处理措施。
      结果 该患者应用两性霉素B脂质体和艾沙康唑进行联合抗真菌治疗,临床表现及影像学结果显示治疗有效。两性霉素B脂质体用药期间出现肾毒性及药物热的不良反应,临床药师建议给予相应的处置措施,之后患者病情控制平稳后出院。
      结论 两性霉素B脂质体联合艾沙康唑可有效治疗播散性毛霉病合并曲霉感染,两性霉素B脂质体应用期间需密切监测肾毒性和药物热的不良反应,给予对症处理后可好转。

       

      Abstract:
      OBJECTIVE  To explore the antifungal treatment of 1 rare case of disseminated mucormycosis complicated by aspergillus infection.
      METHODS Based on evidence-based guidelines, the patient’s antifungal regimen was analyzed, clinical efficacy was closely monitored, and the potential adverse reactions and symptomatic support were noted.
      RESULTS The patient received combination antifungal therapy with liposomal amphotericin B and isavuconazole, and clinical manifestations and imaging findings showed that the treatment was effective. Nephrotoxicity and drug-induced fever occurred as adverse reactions while liposomal amphotericin B was administered. The clinical pharmacist recommended corresponding intervention measures. Subsequently, the patient’s condition became stable and the patient was discharged.
      CONCLUSION  Liposomal amphotericin B combined with isavuconazole is effective against disseminated mucormycosis complicated by aspergillus infection. Close monitoring for adverse drug reactions including nephrotoxicity and drug-induced fever is required during the administration of liposomal amphotericin B, and symptomatic treatment can manage these adverse reactions.

       

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