Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from Uganda

Chronic pulmonary aspergillosis (CPA) treatment in Africa remains unexplored. We present a 23-year-old Ugandan male, previously treated thrice for pulmonary tuberculosis, developing CPA. Imaging showed lung fibrosis, bronchiectasis, and a fungal ball. He received weekly 600mg (10mg/kg) of liposomal...

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Main Authors: Winnie Kibone, Felix Bongomin, David W. Denning, David B. Meya
Format: Article
Language:English
Published: Elsevier 2024-12-01
Series:Medical Mycology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S221175392400040X
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author Winnie Kibone
Felix Bongomin
David W. Denning
David B. Meya
author_facet Winnie Kibone
Felix Bongomin
David W. Denning
David B. Meya
author_sort Winnie Kibone
collection DOAJ
description Chronic pulmonary aspergillosis (CPA) treatment in Africa remains unexplored. We present a 23-year-old Ugandan male, previously treated thrice for pulmonary tuberculosis, developing CPA. Imaging showed lung fibrosis, bronchiectasis, and a fungal ball. He received weekly 600mg (10mg/kg) of liposomal amphotericin B for six weeks, leading to marked clinical improvement. Weekly liposomal amphotericin B may be a viable treatment option for CPA in resource-limited settings.
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publisher Elsevier
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series Medical Mycology Case Reports
spelling doaj-art-23df447333a448a89c0ef87b8ef100cd2025-08-20T01:57:01ZengElsevierMedical Mycology Case Reports2211-75392024-12-014610066610.1016/j.mmcr.2024.100666Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from UgandaWinnie Kibone0Felix Bongomin1David W. Denning2David B. Meya3Department of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda; Department of Internal Medicine, Mulago National Referral Hospital, Kampala, Uganda; Corresponding author. Department of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda.Department of Medical Microbiology and Immunology, Faculty of Medicine, Gulu University, Gulu, Uganda; Manchester Fungal Infection Group, Division of Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United KingdomManchester Fungal Infection Group, Division of Evolution, Infection and Genomics, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United KingdomDepartment of Internal Medicine, Mulago National Referral Hospital, Kampala, Uganda; Infectious Diseases Institute, Department of Medicine, College of Health Sciences, Makerere University, Kampala, UgandaChronic pulmonary aspergillosis (CPA) treatment in Africa remains unexplored. We present a 23-year-old Ugandan male, previously treated thrice for pulmonary tuberculosis, developing CPA. Imaging showed lung fibrosis, bronchiectasis, and a fungal ball. He received weekly 600mg (10mg/kg) of liposomal amphotericin B for six weeks, leading to marked clinical improvement. Weekly liposomal amphotericin B may be a viable treatment option for CPA in resource-limited settings.http://www.sciencedirect.com/science/article/pii/S221175392400040XAspergillomaLiposomal amphotericin BTreatment outcomeResource limited settings
spellingShingle Winnie Kibone
Felix Bongomin
David W. Denning
David B. Meya
Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from Uganda
Medical Mycology Case Reports
Aspergilloma
Liposomal amphotericin B
Treatment outcome
Resource limited settings
title Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from Uganda
title_full Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from Uganda
title_fullStr Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from Uganda
title_full_unstemmed Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from Uganda
title_short Primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin B: A case report from Uganda
title_sort primary treatment of chronic pulmonary aspergillosis with weekly liposomal amphotericin b a case report from uganda
topic Aspergilloma
Liposomal amphotericin B
Treatment outcome
Resource limited settings
url http://www.sciencedirect.com/science/article/pii/S221175392400040X
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