Rezafungin in fluconazole-resistant and refractory candidiasis: the first Brazilian experience.

IF 1.3 4区 医学 Q4 INFECTIOUS DISEASES
Wdson Luis Lima Kruschewsky, Jeanne Aiko de Souza Nakagawa, Lumena Pereira Machado Siqueira, Mariane Taborda, Vítor Falcão de Oliveira, Edson Abdala, Adriana Satie Gonçalves Kono Magri, Marcello Mihailenko Chaves Magri
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引用次数: 0

Abstract

Invasive candidiasis is associated with high morbidity and mortality, and the rising of antifungal resistance underscores the need for new therapies. Rezafungin, a second-generation echinocandin, enables once-weekly dosing, achieves high plasma concentrations, and shows potent in vitro activity. We report two Brazilian cases showing its clinical utility: (i) fluconazole-resistant Candida tropicalis bloodstream infection in a patient with colorectal cancer and chronic kidney disease and (ii) azole-refractory C. albicans esophagitis in a patient with autoimmune polyglandular syndrome type 1. Both achieved rapid clinical response and microbiological clearance. These are the first documented cases of rezafungin use for invasive candidiasis in Brazil.

Rezafungin治疗氟康唑耐药和难治性念珠菌病:巴西首例经验。
侵袭性念珠菌病与高发病率和死亡率有关,抗真菌耐药性的上升强调了对新疗法的需求。Rezafungin是第二代棘白菌素,可以每周给药一次,达到高血浆浓度,并显示出强大的体外活性。我们报告了两例巴西病例,显示了其临床应用:(1)结直肠癌和慢性肾病患者的氟康唑耐药热带念珠菌血液感染;(2)1型自身免疫性多腺综合征患者的唑难治性白色念珠菌食管炎。两者均取得了快速的临床反应和微生物清除率。这是巴西首次记录的使用rezafungin治疗侵袭性念珠菌病的病例。
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来源期刊
CiteScore
3.60
自引率
5.30%
发文量
100
审稿时长
6-12 weeks
期刊介绍: The Revista do Instituto de Medicina Tropical de São Paulo (Journal of the São Paulo Institute of Tropical Medicine) is a journal devoted to research on different aspects of tropical infectious diseases. The journal welcomes original work on all infectious diseases, provided that data and results are directly linked to human health. The journal publishes, besides original articles, review articles, case reports, brief communications, and letters to the editor. The journal publishes manuscripts only in English. From 2016 on, the Revista do Instituto de Medicina Tropical de São Paulo (Journal of the São Paulo Institute of Tropical Medicine) is published online only, maintaining the free access. For more information visit: - http://www.scielo.br/rimtsp - http://www.imt.usp.br/revista-imt/
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