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. 2023 Sep 15;63(9):1281–1287. doi: 10.2169/internalmedicine.1944-23

Table 4A.

Treatment Details.

Patient No. Duration to start treatment (weeks) Treatment of antifungal drug and dose (/day) Acute phase treatment period (weeks) Relapse Additional treatment after relapse (/day) Intrathecal injection
1 4 L-AMB 6 mg/kg 5-FC 100 mg/kg 8 (+) Restart intrathecal injection ITCZ
→VRCZ (dose is unknown)
AMPH-B 0.5 mg (increasing from 0.05 mg)
FLCZ/VRCZ/ITCZ (each dose was unknown)
2 6 FLCZ 400 mg (10 mg/kg) 33 (-) (-) (-)
L-AMB 100-180 mg (2.5-4.5 mg/kg) 5-FC 4,000 mg (100 mg/kg)
FLCZ 100-400 mg
3 1 L-AMB 250 mg (4.38 mg/kg), 5-FC 3,000 mg (≒50 mg/kg) 4 (+) L-AMB 325 mg (5.8 mg/kg) VRCZ 800 mg AMPH-B 0.5 mg (increasing from 0.05 mg)
FLCZ 200 mg
4 8 L-AMB 350 mg (6 mg/kg) 5-FC 8,000 mg (137 mg/kg) 6 (-) (-) AMPH-B 0.45 mg (increasing from 0.05 mg)
FLCZ 800 mg
5 4 L-AMB 200 mg (5 mg/kg) 5-FC 6,000 mg (150 mg/kg) VRCZ 300 mg 6 (-) (-) (-)
FLCZ 200-400 mg
6 4 L-AMB 150 mg (3.3 mg/kg) 5-FC 5,000 mg (110 mg/kg) 3 (-) (-) (-)
FLCZ 400 mg
7 4 L-AMB 100 mg (2.5 mg/kg) 5-FC 4,000 mg (100 mg/kg) 4 (+) L-AMB 100 mg (2.5 mg/kg) (-)
FLCZ 200 mg
8 4 L-AMB 150 mg (3.4 mg/kg) 5-FC 4,000 mg (≒100 mg/kg) 9 (+) L-AMB 150-300 mg 5-FC 4,000 mg (≒ 100 mg/kg)
→FLCZ 800 mg 5-FC 4,000 mg (≒ 100 mg/kg)
AMPH-B 1.0 mg (increasing from 0.25 mg)
FLCZ 400 mg
9 9 L-AMB 250 mg (6 mg/kg) 5-FC 2,000 mg (50 mg/kg) 4 (+) L-AMB 200-250 mg
→VRCZ 200 mg
(-)
FLCZ 200 mg

L-AMB: liposomal amphotericin B, 5-FC: 5-Fluorocytosine, FLCZ: fluconazole, VRCZ: voriconazole, ITCZ: itraconazole, AMPH-B: amphotericin B