Table 4A.
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 | ① | 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) |
② | FLCZ/VRCZ/ITCZ (each dose was unknown) | ||||||
2 | 6 | ① | FLCZ 400 mg (10 mg/kg) | 33 | (-) | (-) | (-) |
② | L-AMB 100-180 mg (2.5-4.5 mg/kg) 5-FC 4,000 mg (100 mg/kg) | ||||||
③ | FLCZ 100-400 mg | ||||||
3 | 1 | 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) |
② | FLCZ 200 mg | ||||||
4 | 8 | ① | 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) |
② | FLCZ 800 mg | ||||||
5 | 4 | ① | L-AMB 200 mg (5 mg/kg) 5-FC 6,000 mg (150 mg/kg) VRCZ 300 mg | 6 | (-) | (-) | (-) |
② | FLCZ 200-400 mg | ||||||
6 | 4 | ① | L-AMB 150 mg (3.3 mg/kg) 5-FC 5,000 mg (110 mg/kg) | 3 | (-) | (-) | (-) |
② | FLCZ 400 mg | ||||||
7 | 4 | ① | 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) | (-) |
② | FLCZ 200 mg | ||||||
8 | 4 | ① | 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) |
② | FLCZ 400 mg | ||||||
9 | 9 | ① | L-AMB 250 mg (6 mg/kg) 5-FC 2,000 mg (50 mg/kg) | 4 | (+) | L-AMB 200-250 mg →VRCZ 200 mg |
(-) |
② | FLCZ 200 mg |
L-AMB: liposomal amphotericin B, 5-FC: 5-Fluorocytosine, FLCZ: fluconazole, VRCZ: voriconazole, ITCZ: itraconazole, AMPH-B: amphotericin B