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Updated: Jul 4, 2026

Nerve Excitability Assessment in Chemotherapy-induced Neurotoxicity
Published on: April 26, 2012
Voriconazole-induced neuropathy
Firdevs Aksoy1, Elif Akdogan, Kemalettin Aydin
1Department of Infectious Disease and Clinical Microbiology, School of Medicine, Karadeniz Technical University, Trabzon, Turkey. faslanaksoy@yahoo.com
Background:
Fungal infections are common and life threatening among immunosupressive patients. Rare side effects may occur related to the use of voriconazole, which is the drug of choice in invasive aspergillosis.
Patients And Methods:
Neuropathy was determined through clinical and electromyographic findings during the course of voriconazole therapy in 2 patients developing invasive aspergillosis.
Results:
Since examinations revealed no neuropathy capable of ascription to any other cause and improvement followed the cessation of the drug, this suggested that neuropathy may be linked to voriconazole use.
Conclusion:
Neuropathy may be seen as a side effect during voriconazole treatment. Voriconazole-induced side effects should be borne in mind and patients carefully monitored during its use.
Insights
Voriconazole, a key treatment for invasive aspergillosis, may cause neuropathy. Careful patient monitoring is crucial during voriconazole therapy due to potential side effects.
Area of Science:
- Medical Mycology
- Clinical Neurology
- Pharmacology
Background:
- Invasive fungal infections pose significant risks to immunosuppressed patients.
- Voriconazole is a primary antifungal agent for invasive aspergillosis.
- Rare adverse events associated with voriconazole necessitate ongoing research.
Observation:
- Two patients with invasive aspergillosis developed neuropathy during voriconazole treatment.
- Clinical and electromyographic evaluations were used to assess neuropathy.
- No alternative causes for neuropathy were identified in the affected patients.
Findings:
- Neuropathy was clinically and electromyographically confirmed in patients receiving voriconazole.
- Discontinuation of voriconazole led to improvement in neuropathic symptoms.
- A strong association between voriconazole use and neuropathy was suggested.
Implications:
- Voriconazole-induced neuropathy is a potential, albeit rare, side effect.
- Clinicians should consider neuropathy in patients on voriconazole therapy.
- Vigilant monitoring for voriconazole side effects is essential for patient safety.
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