Aspergillus osteomyelitis after liver transplantation

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Abstract

A 57-year-old woman underwent liver transplantation and developed osteomyelitis in the femur attributable to Aspergillus fumigatus. The patient was treated successfully with amphotericin B and 5-fluorocytosine for 30 days, and then switched to itraconazole for 12 months. Plasma (1->3)-beta-D-glucan levels decreased significantly after the chemotherapy. Early diagnosis by (1->3)-beta-D-glucan measurement and extended treatment with itraconazole can improve the prognosis of invasive Aspergillus infection.

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Kaneko, J., Sugawara, Y., & Makuuchi, M. (2002). Aspergillus osteomyelitis after liver transplantation. Liver Transplantation, 8(11), 1073–1075. https://doi.org/10.1053/jlts.2002.35778

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