| Literature DB >> 29967027 |
Fanny Lanternier1,2, Olivier Lortholary3,2, François Danion1,4, Vincent Jullien5, Claire Rouzaud1, Manal Abdel Fattah6, Simona Lapusan7, Romain Guéry1, Naïke Bigé8, Marjolaine Morgand1, Nicolas Pallet9.
Abstract
Voriconazole is the standard treatment for invasive aspergillosis but requires therapeutic drug monitoring to optimize therapy. We report two cases of central nervous system aspergillosis treated with voriconazole. Because of low trough plasma concentrations, we identified gain-of-function mutations in CYP2C19 that were partially responsible for the therapeutic failure of voriconazole. We suggest that systematic voriconazole pharmacogenomic investigation of cerebral aspergillosis be performed to avoid effective therapy delay in this life-threatening disease.Entities:
Keywords: CYP2C19; cerebral aspergillosis; metabolizer; pharmacogenomics; therapeutic drug monitoring; voriconazole
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Year: 2018 PMID: 29967027 PMCID: PMC6125540 DOI: 10.1128/AAC.00705-18
Source DB: PubMed Journal: Antimicrob Agents Chemother ISSN: 0066-4804 Impact factor: 5.191