Invasive fungal diseases contribute substantially to death andillness associated with the prolonged, profound neutropeniaresulting from intensive chemotherapy for hematologic cancersand from myeloablation for allogeneic hematopoietic stem-celltransplantation. In addition, the development of graft-versus-hostdisease (GVHD) puts transplant recipients at risk for infectionfor several weeks or months after engraftment.1 Given the highmortality associated with invasive fungal diseases and our inabilityto recognize active cases reliably, it is not surprising thatprophylaxis is perceived as a sensible therapeutic approach.
More than a decade ago, fluconazole was shown to be effectivefor preventing candida infection.2 However, aspergillus species. . . [Full Text of this Article]
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From the Department of Blood Transfusion and Transplant Immunology and the Department of Hematology, University Medical Center St. Radboud, Nijmegen, the Netherlands.
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