Cyclical caspofungin for chronic pulmonary aspergillosis in sarcoidosis

Thorax. 2014 Mar;69(3):287-8. doi: 10.1136/thoraxjnl-2013-203988. Epub 2013 Sep 12.

Abstract

In sarcoidosis, chronic pulmonary aspergillosis (CPA) may be associated with significant morbidity, and treatment failure rates are often high, even with newer triazole antifungal agents. We report a treatment regimen of cyclical caspofungin infusions in 10 patients with sarcoidosis and worsening CPA despite oral triazoles.

Keywords: Aspergillus Lung Disease; Sarcoidosis.

MeSH terms

  • Adult
  • Antifungal Agents / administration & dosage
  • Antifungal Agents / therapeutic use*
  • Caspofungin
  • Chronic Disease
  • Echinocandins / administration & dosage
  • Echinocandins / therapeutic use*
  • Female
  • Follow-Up Studies
  • Humans
  • Immunocompromised Host
  • Infusion Pumps
  • Lipopeptides
  • Male
  • Middle Aged
  • Pulmonary Aspergillosis / complications*
  • Pulmonary Aspergillosis / diagnosis
  • Pulmonary Aspergillosis / drug therapy*
  • Pulmonary Aspergillosis / mortality
  • Sarcoidosis / complications*
  • Sarcoidosis / diagnosis
  • Sarcoidosis / drug therapy*
  • Sarcoidosis / mortality
  • Treatment Outcome

Substances

  • Antifungal Agents
  • Echinocandins
  • Lipopeptides
  • Caspofungin