Aspergillus osteomyelitis after liver transplantation
Junichi Kaneko, Yasuhiko Sugawara, Masatoshi Makuuchi – 30 December 2003 – A 57‐year‐old woman underwent liver transplantation and developed osteomyelitis in the femur attributable to Aspergillus fumigatus. The patient was treated successfully with amphotericin B and 5‐fluorocytosine for 30 days, and then switched to itraconazole for 12 months. Plasma (1‐>3)‐beta‐D‐glucan levels decreased significantly after the chemotherapy. Early diagnosis by (1‐>3)‐beta‐D‐glucan measurement and extended treatment with itraconazole can improve the prognosis of invasive Aspergillus infection.