Evidence map›Paper›PMID 30039238›Full record

ReviewMycopathologia2019

Isavuconazole in a Successful Combination Treatment of Disseminated Mucormycosis in a Child with Acute Lymphoblastic Leukaemia and Generalized Haemochromatosis: A Case Report and Review of the Literature.

Anna Pomorska, Anna Malecka, Radoslaw Jaworski, Julia Radon-Proskura, Rasmus Krøger Hare, Henrik Vedel Nielsen, Lee O'Brian Andersen, Henrik Elvang Jensen, Maiken Cavling Arendrup, Ninela Irga-Jaworska

Open access · hybridAbstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in Mycopathologia, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  5. InvasiveFrontiers in pediatrics · 2026
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  15. [Clinical features of children withNan fang yi ke da xue xue bao = Journal of Southern Medical University · 2022
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  20. Isavuconazonium Sulfate Use in Multi-Modal Management of Invasive Mucormycosis in Four Pediatric Allogeneic Hematopoietic Cell Transplant Patients.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2021
    Article
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

10 authors at 4 institutions in 2 countries.

Anna PomorskaDepartment of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland. anna.pomorska@gumed.edu.pl.ORCID http://orcid.org/0000-0002-5559-8543
Anna MaleckaDepartment of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland.
Radoslaw JaworskiDepartment of Cardiothoracic Surgery, The Children's Memorial Health Institute, Warsaw, Poland.
Julia Radon-ProskuraDepartment of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland.
Rasmus Krøger HareUnit of Mycology, Statens Serum Institut, Copenhagen, Denmark.
Henrik Vedel NielsenUnit of Mycology, Statens Serum Institut, Copenhagen, Denmark.
Lee O'Brian AndersenUnit of Mycology, Statens Serum Institut, Copenhagen, Denmark.
Henrik Elvang JensenFaculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.
Maiken Cavling ArendrupUnit of Mycology, Statens Serum Institut, Copenhagen, Denmark.
Ninela Irga-JaworskaDepartment of Pediatrics, Hematology and Oncology, Medical University of Gdansk, Gdansk, Poland.
Gdańsk Medical University · PLStatens Serum Institut · DKChildren's Memorial Health Institute · PLUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Invasive mucormycosis in immunocompromised children is a life-threatening fungal infection. We report a case of a 7-year-old girl treated for acute lymphoblastic leukaemia complicated by disseminated mucormycosis during induction therapy. Microscopic examination of surgically removed lung tissue revealed wide, pauci-septate hyphae suggesting a Mucorales infection. This diagnosis was confirmed immunohistochemically and by PCR analysis followed by a final identification of Cunninghamella sp. The patient was treated successfully with surgical debridement and antifungal combination therapy with amphotericin B, caspofungin and isavuconazole. The use of isavuconazole in a child was not previously reported. Additionally, case reports concerning pulmonary mucormycoses in paediatric population published after 2010 were reviewed. Nineteen out of 26 identified patients suffered from haematological diseases. Reported mortality reached 38.5%. By the fact of rising morbidity, unsatisfactory results of treatment and remaining high mortality of mucormycoses in immunocompromised patients, new therapeutic options are warrant. Isavuconazole, with its broad-spectrum activity, good safety profile and favourable pharmacokinetics, is a promising drug. However, further studies are necessary to confirm positive impact of isavuconazole on mucormycosis treatment in children.

Indexed as

Amphotericin BAntifungal AgentsCaspofunginChildCunninghamellaDebridementDrug-Related Side Effects and Adverse ReactionsDrug Therapy, CombinationFemaleHemochromatosisHumansInvasive Fungal InfectionsMucormycosisNitrilesPrecursor Cell Lymphoblastic Leukemia-LymphomaPyridinesAmphotericin BAntifungal AgentsCaspofunginisavuconazoleNitrilesPyridinesTriazolesChildrenCunninghamellaIsavuconazoleMucormycosis

Identifiers

PMID30039238
OpenAlexW2883441305

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.