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Case Reports |
Hematology Chair, Universita Cattolica S. Cuore, Rome, Italy.
Optimal management of fungemia in neutropenic patients is still controversial. Several reports have already stressed the poor prognosis in invasive candidiasis (80% mortality in several reports). Therefore granulocyte transfusions would appear to be useful in the management of these infections. We report the use of rhG-CSF-primed granulocyte transfusions plus amphotericin B in two neutropenic patients who developed life-threatening systemic fungal infections. This approach was successful and both patients fully recovered from the infection.
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T. H. Price, R. A. Bowden, M. Boeckh, J. Bux, K. Nelson, W. C. Liles, and D. C. Dale Phase I/II trial of neutrophil transfusions from donors stimulated with G-CSF and dexamethasone for treatment of patients with infections in hematopoietic stem cell transplantation Blood, June 1, 2000; 95(11): 3302 - 3309. [Abstract] [Full Text] [PDF] |
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