Analysis of 4 Cases of Fungal Infections in Children and Literature Review
- VernacularTitle:4例儿童侵袭性真菌感染病例分析及文献回顾
- Author:
Jie GE
1
;
Yue GUAN
1
;
Yi QIAO
1
;
Jingwen WANG
1
Author Information
1. Dept. of Pharmacy，the First Affiliated Hospital of Air Force Military Medical Unive rsity，Xi’an 710032，China
- Publication Type:Journal Article
- Keywords:
Invasive fungal in fection;
Case analysis;
Children;
Literature review
- From:
China Pharmacy
2021;32(24):3038-3043
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE：To prov ide a reference for the diagnosis and treatment of invasive fungal infection in children. METHODS：Four male children with invasive fungal infection in critical condition ，aged from 3 months to 17 years，were treated in our hospital. The types of diseases included pneumonia ，endocarditis，meningitis and pulmonary infection. The pathogens involved Trichosporon asahii ，Candida portugal ，Malassezia globosa ，Pichia guilliermondii ，Alternaria alternate and Candida krusei. Clinical pharmacists comprehensively followed up the treatment and reviewed the literature to assist doctors in formulating treatment plans. They provided Fluconazole sodium chloride injection （6 mg/kg，ivgtt，qd），Caspofungin acetate for injection （loading dose 32 mg，maintenance dose 25 mg，ivgtt，qd），Fluconazole capsules （400 mg，p.o.，qd）and Voriconazole for injection（200 mg，i.v.，q12 h）+Capofungin acetate for injection （loading dose 70 mg，maintenance dose 50 mg，i.v.，qd）and other symptomatic treatment ，and closely monitored the changes of relevant indicators and the occurrence of ADR during the treatment of children. RESULTS ：The doctor adopted the clinical pharmacist ’s suggestion ，three cases were relieved and one was not cured. No serious ADR was found. CONCLUSIONS ：Once similar infections are found in clinic ，timely targeted treatment should be given in combination with the types of pathogens and drug resistance characteristics ，so as to effectively control the disease. The real cases provided in this article can provide evidence for the treatment of children with fungal infection.
