2018
DOI: 10.1016/j.jocn.2018.02.018
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Intracavitary amphotericin B in the treatment of intracranial aspergillosis

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Cited by 8 publications
(5 citation statements)
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“…This prompted us to start intralesional liposomal amphotericin B administration via an Ommaya reservoir, in conjunction with continued systemic therapy with isavuconazole. A small number of cases have reported intralesional amphotericin B administration for cerebral aspergillosis, administering liposomal amphotericin B at a dose of 1 to 3 mg once weekly [ 5 , 16 , 17 ]. We chose to administer the antifungal twice weekly and at a dose of 5 mg (a scheme that has been proposed by Schauwvlieghe et al but had never been tested in practice) [ 5 ].…”
Section: Discussionmentioning
confidence: 99%
“…This prompted us to start intralesional liposomal amphotericin B administration via an Ommaya reservoir, in conjunction with continued systemic therapy with isavuconazole. A small number of cases have reported intralesional amphotericin B administration for cerebral aspergillosis, administering liposomal amphotericin B at a dose of 1 to 3 mg once weekly [ 5 , 16 , 17 ]. We chose to administer the antifungal twice weekly and at a dose of 5 mg (a scheme that has been proposed by Schauwvlieghe et al but had never been tested in practice) [ 5 ].…”
Section: Discussionmentioning
confidence: 99%
“…NGS was only reported in the present study. The most frequently used drug was voriconazole, accounting for 22 cases and with the improvement of the drug, the disease improvement rate of patients significantly advanced compared with previous use, accounting for 19 cases (Table I) (23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40)(41)(42).…”
Section: Discussionmentioning
confidence: 99%
“…4,22,25 Fungal infections, Toxoplasma, Staphylococcus species, Streptococcus species, and Pseudomonas are frequently observed in immunocompromised patients and after organ transplantation, chemotherapy, and steroid usage. 4,20,25 Streptococcus anginosus is a commensal microbe of the mucosae of the oral cavity, gastrointestinal tract, and urogenital tract and is rarely found in brain abscess materials or immunocompetent patients. 12 We identified this etiological agent in an immunocompetent patient with a left frontal intracerebral abscess that was treated successfully with craniotomy and drainage.…”
Section: Discussionmentioning
confidence: 99%
“…This technique was previously reported in the literature with satisfactory clinical results. 20 Surgical options for the treatment of brain infections are well known and defined in the literature. 3,7,10,15,17 Craniotomy is the gold standard for superficial, large, or multiloculated abscess or empyemas while stereotactic methods or endoscopic approaches are preferred for deep-seated or small infections.…”
Section: Discussionmentioning
confidence: 99%