Use of Expanded Access Fosmanogepix in Two Pediatric Patients With Rhino-Orbital-Cerebral Mucormycosis.
Misty M Oldham, Gwendolyn Buckendorf, Islam Elmitwalli et al.
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Case in brief
Two pediatric patients with diabetic ketoacidosis presented with extensive rhino-orbital-cerebral mucormycosis. Initial treatment with standard antifungal therapies failed to eradicate the infection. The addition of expanded access fosmanogepix to their treatment regimens led to significant improvement, allowing for the discontinuation of less tolerated antifungals. Both patients completed several months of fosmanogepix and survived their infections.
Diagnostic / clinical pearl
Fosmanogepix may be a viable option in the treatment of severe mucormycosis, especially when standard therapies are ineffective or poorly tolerated.