Evidence map›Paper›PMID 34658074›Full record

ArticleJournal of veterinary internal medicine2021

Posaconazole treatment of refractory coccidioidomycosis in dogs.

Lisa F Shubitz, Sallianne Schlacks, Polina Vishkautsan, Christine D Butkiewicz, Kate A Worthing

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
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  4. Posaconazole treatment of refractory coccidioidomycosis in dogs.Journal of veterinary internal medicine · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Lisa F ShubitzValley Fever Center for Excellence, The University of Arizona, Tucson, Arizona, USA.ORCID https://orcid.org/0000-0003-1011-0708
Sallianne SchlacksVeterinary Specialty Center of Tucson, Tucson, Arizona, USA.
Polina VishkautsanVeterinary Specialty Center of Tucson, Tucson, Arizona, USA.
Christine D ButkiewiczValley Fever Center for Excellence, The University of Arizona, Tucson, Arizona, USA.
Kate A WorthingUniversity of Arizona College of Veterinary Medicine, Oro Valley, Arizona, USA.
University of Arizona · USArizona Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe majority of dogs with coccidioidomycosis recover with administration of fluconazole or itraconazole, although some cases are refractory or the dogs do not tolerate administration of these medications.

objectivesThe objective was to describe the treatment outcomes and therapeutic monitoring of 8 dogs with refractory coccidioidomycosis treated with posaconazole. ANIMALS: Eight dogs with refractory coccidioidomycosis.

methodsRetrospective case series. Medical records from Veterinary Specialty Center of Tucson were searched to identify dogs with refractory coccidioidomycosis that were treated with posaconazole. Clinical information and the results of monitoring trough serum posaconazole concentrations were retrieved.

resultsEight dogs with refractory coccidioidomycosis were treated with 2.5 to 10 mg/kg per day of posaconazole. Six of 8 dogs recovered or developed clinical remission while administered posaconazole. Thirteen serum concentrations from 8 dogs tested were >1 μg/mL (range, 1.52 to >6 μg/mL) and the drug was well-tolerated by 7 dogs. One dog required dosage reductions and treatment was ultimately discontinued because of hepatotoxicosis. CONCLUSIONS AND CLINICAL IMPORTANCE: Posaconazole should be considered as a treatment option for dogs with refractory coccidioidomycosis. Monitoring of indicators of liver function or injury along with therapeutic drug monitoring is recommended to tailor dosage in the event of hepatic toxicosis.

Indexed as

CoccidioidomycosisDog DiseasesAnimalsAntifungal AgentsDogsFluconazoleRetrospective StudiesTriazolesAntifungal AgentsFluconazoleposaconazoleTriazolescoccidioidesfungal infectionrefractorytherapeutic drug monitoring

Identifiers

PMID34658074
PMCPMC8692207
OpenAlexW3205839342

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.