Therapy of Mucormycosis

Despite the recent introduction of mold-active agents (posaconazole and isavuconazole), in addition to amphotericin B products, to our armamentarium against mucormycosis, many uncertainties remain for the management of this uncommon opportunistic infection, as there are no data from prospective rand...

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Main Authors: Nikolaos V. Sipsas, Maria N. Gamaletsou, Amalia Anastasopoulou, Dimitrios P. Kontoyiannis
Format: Article
Language:English
Published: MDPI AG 2018-07-01
Series:Journal of Fungi
Subjects:
Online Access:http://www.mdpi.com/2309-608X/4/3/90
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author Nikolaos V. Sipsas
Maria N. Gamaletsou
Amalia Anastasopoulou
Dimitrios P. Kontoyiannis
author_facet Nikolaos V. Sipsas
Maria N. Gamaletsou
Amalia Anastasopoulou
Dimitrios P. Kontoyiannis
author_sort Nikolaos V. Sipsas
collection DOAJ
description Despite the recent introduction of mold-active agents (posaconazole and isavuconazole), in addition to amphotericin B products, to our armamentarium against mucormycosis, many uncertainties remain for the management of this uncommon opportunistic infection, as there are no data from prospective randomized clinical trials to guide therapy. In this mini-review, we present the current status of treatment options. In view of the heterogeneity of the disease (different types of affected hosts, sites of infection, and infecting Mucorales), mucormycosis management requires an individualized management plan that takes into account the net state of immunosuppression of the host, including comorbidities, certainty of diagnosis, site of infection, and antifungal pharmacological properties.
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spelling doaj.art-c5721b8be39d4b0db19206af4d1534f02022-12-22T00:23:48ZengMDPI AGJournal of Fungi2309-608X2018-07-01439010.3390/jof4030090jof4030090Therapy of MucormycosisNikolaos V. Sipsas0Maria N. Gamaletsou1Amalia Anastasopoulou2Dimitrios P. Kontoyiannis3Pathophysiology Department, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75, 115 27 Athens, GreecePathophysiology Department, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75, 115 27 Athens, GreecePathophysiology Department, Medical School, National and Kapodistrian University of Athens, Mikras Asias 75, 115 27 Athens, GreeceDepartment of Infectious Diseases, Infection Control and Employee Health, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030, USADespite the recent introduction of mold-active agents (posaconazole and isavuconazole), in addition to amphotericin B products, to our armamentarium against mucormycosis, many uncertainties remain for the management of this uncommon opportunistic infection, as there are no data from prospective randomized clinical trials to guide therapy. In this mini-review, we present the current status of treatment options. In view of the heterogeneity of the disease (different types of affected hosts, sites of infection, and infecting Mucorales), mucormycosis management requires an individualized management plan that takes into account the net state of immunosuppression of the host, including comorbidities, certainty of diagnosis, site of infection, and antifungal pharmacological properties.http://www.mdpi.com/2309-608X/4/3/90mucormycosistreatmentamphotericin Bposaconazoleisavuconazolesurgeryleukemiastem cell transplantation
spellingShingle Nikolaos V. Sipsas
Maria N. Gamaletsou
Amalia Anastasopoulou
Dimitrios P. Kontoyiannis
Therapy of Mucormycosis
Journal of Fungi
mucormycosis
treatment
amphotericin B
posaconazole
isavuconazole
surgery
leukemia
stem cell transplantation
title Therapy of Mucormycosis
title_full Therapy of Mucormycosis
title_fullStr Therapy of Mucormycosis
title_full_unstemmed Therapy of Mucormycosis
title_short Therapy of Mucormycosis
title_sort therapy of mucormycosis
topic mucormycosis
treatment
amphotericin B
posaconazole
isavuconazole
surgery
leukemia
stem cell transplantation
url http://www.mdpi.com/2309-608X/4/3/90
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AT amaliaanastasopoulou therapyofmucormycosis
AT dimitriospkontoyiannis therapyofmucormycosis