Disseminated aspergillosis following a bone marrow transplant (Paediatric)

Case History Name: 

Case number: 

56

Summary: 

A 15-year-old Caucasian male with Wiskott-Aldrich syndrome underwent an allogeneic bone marrow transplant. His post transplant course was complicated by graft-versus-host disease. The patient developed disseminated (lung, skin, brain and vertebral body) aspergillosis, with culture confirmation. The patient received 236 days of therapy with various agents including lipid formulations of amphotericin B, 17 days of voriconazole and 71 days of caspofungin prior to starting micafungin in combination with AmBisome. He eventually received a partial response.

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Case history