Safe and successful endoarterial infusion of liposomal amphotericin B in treatment of mucormycosis

New Microbiol. 2003 Oct;26(4):395-8.

Abstract

Mucormycosis is a rare invasive mycotic infection treated by antifungini or amphotericin B. We describe the case of a patient with septic fever and a necrotic lesion, with phlegmon of medial left thigh. Surgery was performed to drain the abscess content and to remove the necrotic tissue; mucormycosis was diagnosized by histological and culture tests and treated by intravenous amphotericin B. Since the lesion worsened, liposomal amphotericin B was directly infused into the left common iliac artery, with progressive improvement, and treatment was continued until complete recovery. Therefore, the endoarterial infusion of liposomal amphotericin B was a safe and successful treatment of advanced lesions of mucormycosis. In such lesions, intravenous general antibiotic administration probably is not sufficient to reach the whole infected area.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Amphotericin B / administration & dosage*
  • Antifungal Agents / administration & dosage*
  • Diagnosis, Differential
  • Humans
  • Infusions, Intra-Arterial
  • Liposomes / administration & dosage
  • Male
  • Mucormycosis / diagnosis
  • Mucormycosis / drug therapy*

Substances

  • Antifungal Agents
  • Liposomes
  • Amphotericin B