Evidence map›Paper›PMID 20625156›Full record

ArticleAntimicrobial agents and chemotherapy2010

International retrospective analysis of 73 cases of invasive fusariosis treated with voriconazole.

Olivier Lortholary, Gaelle Obenga, Pinaki Biswas, Denis Caillot, Elisabeth Chachaty, Anne-Lise Bienvenu, Muriel Cornet, John Greene, Raoul Herbrecht, Claire Lacroix and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in Antimicrobial agents and chemotherapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 2 pooled it
6.9field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

59 citing papers in PubMed, 2 syntheses or guidelines pooled it, 177 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Non-JHLT open · 2025
    Review
  8. Clinical Features and Outcomes of InvasiveJournal of fungi (Basel, Switzerland) · 2025
    Article
  9. Review
  10. Review
  11. Journal of fungi (Basel, Switzerland) · 2024
    Article
  12. Review
  13. Invasive fusariosis.Clinical microbiology reviews · 2023
    Review
  14. Article
  15. Article
  16. Non-European respiratory review : an official journal of the European Respiratory Society · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Invasive Fusariosis in Patients with Hematologic Diseases.Journal of fungi (Basel, Switzerland) · 2021
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 3 countries.

Olivier LortholaryInstitut Pasteur, National Reference Center for Mycoses and Antifungals, Molecular Mycology Unit, CNRS URA3012, Paris, France.
Gaelle Obenga
Pinaki Biswas
Denis Caillot
Elisabeth Chachaty
Anne-Lise Bienvenu
Muriel Cornet
John Greene
Raoul Herbrecht
Claire Lacroix
Frédéric Grenouillet
Issam Raad
Karine Sitbon
Peter Troke
French Mycoses Study Group
Institut Pasteur · FRBroadstairs College · GBHôpital d'Hautepierre · FRHôpital Privé Jean Mermo · FRHôpital Saint-Louis · FRHospices Civils de Lyon · FRHôtel-Dieu de Paris · FRInstitut Gustave Roussy · FRMoffitt Cancer Center · USPfizer (United States) · USThe University of Texas MD Anderson Cancer Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The outcomes for 73 invasive fusariosis patients treated with voriconazole were investigated. Patients with proven (n = 67) or probable (n = 6) infections were identified from the voriconazole clinical database (n = 39) and the French National Reference Center for Mycoses and Antifungals database (n = 34). Investigator-determined success was a complete or partial response. Survival was determined from day 1 of voriconazole therapy to the last day known alive. Patients were 2 to 79 years old (median, 43 years), and 66% were male. Identified Fusarium species (62%) were F. solani, F. moniliforme, F. proliferatum, and F. oxysporum. Underlying conditions analyzed included hematopoietic stem cell transplant (HSCT; 18%), hematologic malignancy (HM; 60%), chronic immunosuppression (CI; 12%), or other condition (OC; 10%). Infection sites were brain (5%), disseminated excluding brain (67%), lungs/sinus (15%), and other (12%). Most patients (64%) were or had recently been neutropenic (<500 cells/mm(3)). Therapy duration was 1 to 480 days (median, 57 days), with a 47% success rate. Baseline neutropenia impacted success adversely (P ≤ 0.03). Success varied by underlying condition (HSCT, 38%; HM, 45%; CI, 44%; OC, 71%) and infection site (brain, 0%; disseminated, 45%; other, 56%; lung/sinus, 64%) (P > 0.05). Combination therapy (13 patients) was no better than treatment with voriconazole alone. Overall, 59% of the patients died (49% died of fusariosis), and 90-day survival was 42%. Site of infection influenced survival (P = 0.02). Median survival (in days) by species was as follows: F. solani, 213; F. oxysporum, 112; Fusarium spp., 101; F. proliferatum, 84; F. moniliforme, 76. We conclude that voriconazole is a therapeutic option for invasive fusariosis.

Indexed as

AdolescentAdultAgedAntifungal AgentsChildChild, PreschoolFemaleFusariumHumansMaleMiddle AgedMycosesPyrimidinesRetrospective StudiesTreatment OutcomeTriazolesAntifungal AgentsPyrimidinesTriazolesVoriconazole

Identifiers

PMID20625156
PMCPMC2944599
OpenAlexW2154220420

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.