학술논문

Long-Term Kinetics of Serum Galactomannan during Treatment of Complicated Invasive Pulmonary Aspergillosis.
Document Type
Article
Source
Journal of Fungi. Feb2023, Vol. 9 Issue 2, p157. 10p.
Subject
*PULMONARY aspergillosis
*HEMATOPOIETIC stem cell transplantation
*ASPERGILLOSIS
*CHILD patients
*ACUTE leukemia
*NEUROENDOCRINE cells
*ANTIFUNGAL agents
Language
ISSN
2309-608X
Abstract
Several studies have evaluated the serum galactomannan (GM) antigen assay in pediatric patients, and there is convincing evidence for its usefulness as a diagnostic tool for invasive Aspergillus infections in patients with acute leukemias or post allogeneic hematopoietic cell transplantation (HCT). Less is known about the utility of the assay in monitoring responses to treatment in patients with established invasive aspergillosis (IA). Here, we present the long-term kinetics of serum galactomannan in two severely immunocompromised adolescents with invasive pulmonary aspergillosis (IPA) who were cured after complicated clinical courses. We also review the utility of the GM antigen assay in serum as a prognostic tool around the time of diagnosis of IA and as a biomarker to monitor disease activity in patients with established IA and assess responses to systemic antifungal therapy. [ABSTRACT FROM AUTHOR]