Safety of rezafungin as a long-term treatment option in two patients with complicated fungal infections: two cases from Lecco Hospital (Italy)

Author:

Ponta Giacomo12ORCID,Morena Valentina1,Strano Martina12,Molteni Chiara1,Pontiggia Silvia1ORCID,Cavalli Erica Michela3,Grancini Anna4,Mauri Carola5,Castagna Antonella2,Galanti Andrea6,Piconi Stefania1ORCID

Affiliation:

1. Infectious Diseases Unit, Ospedale A. Manzoni ASST-Lecco, Lecco, Italy

2. Infectious Diseases Unit, Università Vita-Salute S. Raffaele, Milano, Italy

3. Plastic and Hand Surgery Department, IRCCS San Gerardo, Monza, Italy

4. Microbiology and Virology Unit Fondazione IRCCS Cà Granda O. Maggiore Policlinico, Milan, Italy

5. Microbiology and Virology Unit, A. Manzoni ASST-Lecco, Lecco, Italy

6. Cardiac Surgery Unit, A. Manzoni ASST-Lecco, Lecco, Italy

Abstract

ABSTRACT Rezafungin is an echinocandin characterized by a long elimination half-life which allows for weekly administration. It has been recently approved for the treatment of candidemia. Few data are available about the long-term use of rezafungin and its use for deep infections like endocarditis and osteomyelitis. We describe our experience with its prolonged use in two azole-resistant Candida infections: a case of sacral osteomyelitis and a prosthetic valve endocarditis also involving a thoracic endovascular aneurysm repair.

Publisher

American Society for Microbiology

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