Successful Treatment of Refractory Cutaneous Protothecosis With MAT2203, an Oral Lipid Nanocrystal Formulation of Amphotericin B

Author:

Pechacek Joseph1,Schmitt Monica M1,Ferrè Elise M N1,Webb Taura1,Goldberg Joel2,Pathan Sabina2,Banerjee Camellia2,Barber Princess1,DiMaggio Thomas1,Quinn Anne2,Matkovits Theresa3,Castelo-Soccio Leslie4,Nussenblatt Veronique5,Lionakis Michail S1ORCID

Affiliation:

1. Fungal Pathogenesis Section, National Institute of Allergy and Infectious Diseases, National Institutes of Health , Bethesda, Maryland , USA

2. Intramural Clinical Management and Operations Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health , Bethesda, Maryland , USA

3. Matinas Biopharma Nanotechnologies , Bedminster, New Jersey , USA

4. Dermatology Branch, National Institute of Arthritis and Musculoskeletal and Skin Diseases, National Institutes of Health , Bethesda, Maryland , USA

5. Laboratory of Clinical Immunology and Microbiology, National Institute of Allergy and Infectious Diseases, National Institutes of Health , Bethesda, Maryland , USA

Abstract

Abstract Prototheca wickerhamii is a rare cause of cutaneous and systemic infection that requires long treatment courses with potentially toxic medications. We describe a patient with cutaneous protothecosis refractory to triazole monotherapy who experienced clinical and radiographic improvement with the novel oral lipid nanocrystal formulation of amphotericin B without experiencing toxicity.

Funder

Division of Intramural Research

National Institute of Allergy and Infectious Diseases

National Institutes of Health

National Institute of Arthritis and Musculoskeletal and Skin Diseases

Publisher

Oxford University Press (OUP)

Reference12 articles.

1. Emergence of fungal-like organisms: Prototheca;Kano;Mycopathologia,2020

2. Human disseminated protothecosis: the skin is the “window”?;Wang;Front Immunol,2022

3. Human protothecosis;Lass-Florl;Clin Microbiol Rev,2007

4. Protothecosis;Kantrow;Dermatol Clin,2003

5. Protothecosis;Mayorga;Clin Dermatol,2012

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