Invasive sphenoidal aspergillosis: successful treatment with sphenoidotomy and voriconazole

Baumann, Ariane; Zimmerli, Stefan; Hausler, Rudolf; Caversaccio, Marco (2007). Invasive sphenoidal aspergillosis: successful treatment with sphenoidotomy and voriconazole. ORL, 69(2), pp. 121-6. Basel: Karger 10.1159/000097858

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Treatment of invasive sphenoidal aspergillosis is surgical, followed by antifungal therapy, mostly amphotericin B. To optimize the adjuvant antifungal treatment, which is often limited by severe side effects, the new triazole antifungal agent voriconazole with broad coverage of fungal pathogens including Aspergillus was investigated in a study of 4 patients with clinical, radiological and histological signs of invasive sphenoidal aspergillosis. They first underwent endoscopic sphenoidotomy with drainage and extraction of the fungal mass. Postoperatively, 2 patients were immediately treated with voriconazole. Two patients initially received amphotericin B; but this treatment had to be stopped because of acute renal toxicity. Finally, all patients were treated orally with 200 mg voriconazole twice a day for 12-14 weeks. After this combined treatment all patients were asymptomatic and there were no endoscopic or radiological signs of residual fungal disease. The only side effects were nausea in one and transient visual disturbances in 2 other patients. In the 4 patients presented and treated, voriconazole was shown to be effective and less toxic than amphotericin B in adjuvant treatment of invasive sphenoidal aspergillosis. Copyright (c) 2007 S. Karger AG, Basel.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Ear, Nose and Throat Disorders (ENT)
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology

UniBE Contributor:

Baumann, Ariane; Zimmerli, Stefan; Häusler, Rudolf and Caversaccio, Marco

ISSN:

1423-0275

ISBN:

17159376

Publisher:

Karger

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:46

Last Modified:

08 Aug 2017 08:18

Publisher DOI:

10.1159/000097858

PubMed ID:

17159376

Web of Science ID:

000242847700010

URI:

https://boris.unibe.ch/id/eprint/18904 (FactScience: 1174)

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