| Literature DB >> 24432208 |
Birgit C P Koch1, Enno D Wildschut2, Anna L de Goede1, Matthijs de Hoog2, Roger J M Brüggemann3.
Abstract
Caspofungin, aechinocandin, is a relatively new lipophilic antifungal drug. Little is known concerning the pharmacokinetics of caspofungin in children. Extracorporeal membrane oxygenation (ECMO) allows prolonged cardiopulmonary support in patients with life-threatening respiratory or cardiac failure. Pharmacokinetics may be altered by ECMO. We describe the case of a paediatric patient on ECMO with severe pneumonia and sepsis, who had subtherapeutic exposure of caspofungin despite normal to high dosages of caspofungin. Therapeutic drug monitoring is warranted.Entities:
Keywords: Aspergillosis; Candidiasis; Pharmacokinetics; Pneumonia; Therapeutic drug monitoring
Year: 2012 PMID: 24432208 PMCID: PMC3885930 DOI: 10.1016/j.mmcr.2012.12.006
Source DB: PubMed Journal: Med Mycol Case Rep ISSN: 2211-7539