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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Is The Prognosis For Aspergillus Pneumonia In A Leukemia Patient?

My friend has acute leukemia and had a cord transplant done over a year ago. She now has developed aspergillus pnomonia (excuse my spelling) and has just been admitted to the hospital and they are treating it with amphotericin. Is this going to have a good outcome or is she in serious serious trouble? Is this fungal pnomonia contagious?
Fri, 31 Oct 2014
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Pulmonologist 's  Response
Thanks for your question on HCM.
Aspergillus pneumonia is life threatening condition. And that too in acute leukemia patient needs intensive care. Prognosis depends on response with the therapy.
Amphoterecin B is the drug of choice for this.
So continue with amphoterecin B. Get done repeat chest xray after 2-3 days, if improved than continue for total 21 days.
If worsening than prognosis is poor. Shift to caspofungin and enidulafungin. They are higher antifungals.
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What Is The Prognosis For Aspergillus Pneumonia In A Leukemia Patient?

Thanks for your question on HCM. Aspergillus pneumonia is life threatening condition. And that too in acute leukemia patient needs intensive care. Prognosis depends on response with the therapy. Amphoterecin B is the drug of choice for this. So continue with amphoterecin B. Get done repeat chest xray after 2-3 days, if improved than continue for total 21 days. If worsening than prognosis is poor. Shift to caspofungin and enidulafungin. They are higher antifungals.