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Correspondence
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Volume 347:2080-2081 December 19, 2002 Number 25
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Voriconazole versus Amphotericin B for Invasive Aspergillosis

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 by Herbrecht, R.
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To the Editor: Herbrecht et al. (Aug. 8 issue)1 show the superiority of voriconazole over amphotericin B for primary therapy of invasive aspergillosis. However, we are concerned about the striking difference in the duration of treatment: a median of 10 days with amphotericin B, as compared with 77 days with voriconazole. How can one be so sure that "the superiority of voriconazole . . . was not the result of excessive interruptions" of amphotericin B? First, the use of one of the lipid formulations of amphotericin B, which are tolerated better by the kidneys than amphotericin B deoxycholate,2 would probably . . . [Full Text of this Article]


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