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We report 3 cases of successful treatment of Microascus spp. bronchopulmonary infection in a multiple-traumatized patient and 2 lung transplant recipients in France. We emphasize the promising use of olorofim antifungal therapy in a rising context of intrinsically less-susceptible respiratory infections caused by mold.
Macroscopic observation of endobronchial Microascus cirrosus …
Figure
Macroscopic observation of endobronchial Microascus cirrosus lesion in patient in France with refractory microascus…
Figure
Macroscopic observation of endobronchial Microascus cirrosus lesion in patient in France with refractory microascus bronchopulmonary infection before (A) and after (B) olorofim treatment. Arrows indicate the lesion.
Miossec C, Morio F, Lepoivre T, Le Pape P, Garcia-Hermoso D, Gay-Andrieu F, et al. Fatal invasive infection with fungemia due to Microascus cirrosus after heart and lung transplantation in a patient with cystic fibrosis. J Clin Microbiol. 2011;49:2743–7. 10.1128/JCM.00127-11
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Liu Q, Kong L, Hua L, Xu S. Pulmonary Microascus cirrosus infection in an immunocompetent patient with bronchiectasis: a case report. Respir Med Case Rep. 2021;34:101484. 10.1016/j.rmcr.2021.101484
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Georgacopoulos O, Nunnally NS, Ransom EM, Law D, Birch M, Lockhart SR, et al. In vitro activity of novel antifungal olorofim against filamentous fungi and comparison to eight other antifungal agents. J Fungi (Basel). 2021;7:378. 10.3390/jof7050378
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Wiederhold NP. Review of the novel investigational antifungal olorofim. J Fungi (Basel). 2020;6:122. 10.3390/jof6030122
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Wiederhold NP, Patterson HP, Sanders CJ, Cañete-Gibas C. Dihydroorotate dehydrogenase inhibitor olorofim has potent in vitro activity against Microascus/Scopulariopsis, Rasamsonia, Penicillium and Talaromyces species. Mycoses. 2023;66:242–8. 10.1111/myc.13548
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