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pubmed-article:9541420pubmed:abstractTextThe objective of this study was to evaluate the effects of itraconazole as a first choice drug in the treatment of pulmonary aspergillosis in heart transplant recipients. Heart transplant recipients suffering from invasive pulmonary aspergillosis were included in this study. Group 1 included 4 patients treated with i.v. itraconazole (Janssen Pharmaceutica) 400 mg daily, as a first choice drug for 28 d. Itraconazole was discontinued and amphotericin-B was started before the 28th day if clinical or radiographic worsening was observed. Group 2 included 3 patients treated with amphotericin-B as a first choice drug. Itraconazole was discontinued in all patients of Group 1 after 12-26 d of treatment because of radiographic worsening (n = 3) or combined clinical and radiographic worsening (n = 1). Subsequent treatment with amphotericin-B resulted in improvement of all patients. On a 5-yr follow-up period no relapse of aspergillosis was observed in 3 of them. The fourth patient expired from cerebral hemorrhage. The 3 patients of Group 2 treated with amphotericin-B showed a gradual improvement, and all were doing well on a 2-yr follow-up. In conclusion, in our study population consisted of heart transplant recipients amphotericin-B was superior to itraconazole in the treatment of invasive pulmonary aspergillosis.lld:pubmed
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pubmed-article:9541420pubmed:dateRevised2009-11-19lld:pubmed
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pubmed-article:9541420pubmed:articleTitleItraconazole for the treatment of pulmonary aspergillosis in heart transplant recipients.lld:pubmed
pubmed-article:9541420pubmed:affiliationUniversity of Athens, School of Medicine, Department of Clinical Therapeutics, Alexandra Hospital, Greece.lld:pubmed
pubmed-article:9541420pubmed:publicationTypeJournal Articlelld:pubmed