Primary Treatment of Chronic Pulmonary Aspergillosis with Weekly Liposomal Amphotericin B: A Case Report from Uganda
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Abstract
Chronic pulmonary aspergillosis (CPA) treatment in Africa remains unexplored. We present a 23-year-old Ugandan male, previously treated thrice for pulmonary tuberculosis, developing CPA. Imaging showed lung fibrosis, bronchiectasis, and a fungal ball. He received weekly 600mg (10mg/kg) of liposomal amphotericin B for six weeks, leading to marked clinical improvement. Weekly liposomal amphotericin B may be a viable treatment option for CPA in resource-limited settings.
References
1.
Denning D
. Global incidence and mortality of severe fungal disease. Lancet Infect Dis. 2024; 24(7):e428-e438.
DOI: 10.1016/S1473-3099(23)00692-8.
View
2.
Bongomin F, Harris C, Hayes G, Kosmidis C, Denning D
. Twelve-month clinical outcomes of 206 patients with chronic pulmonary aspergillosis. PLoS One. 2018; 13(4):e0193732.
PMC: 5892866.
DOI: 10.1371/journal.pone.0193732.
View
3.
Faustino C, Pinheiro L
. Lipid Systems for the Delivery of Amphotericin B in Antifungal Therapy. Pharmaceutics. 2020; 12(1).
PMC: 7023008.
DOI: 10.3390/pharmaceutics12010029.
View
4.
Chen J, Chang Y, Luh S, Lee J, Lee Y
. Surgical treatment for pulmonary aspergilloma: a 28 year experience. Thorax. 1997; 52(9):810-3.
PMC: 1758650.
DOI: 10.1136/thx.52.9.810.
View
5.
Bongomin F, Asio L, Baluku J, Kwizera R, Denning D
. Chronic Pulmonary Aspergillosis: Notes for a Clinician in a Resource-Limited Setting Where There Is No Mycologist. J Fungi (Basel). 2020; 6(2).
PMC: 7345130.
DOI: 10.3390/jof6020075.
View