Graded isavuconazole introduction in a patient with voriconazole allergy
Megan K Morales1,2, Ché Harris3, Shmuel Shoham1
1Transplant and Oncology Infectious Diseases Program, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Abstract:
Triazole antifungal drugs may rarely cause serious allergic reactions including angioedema. No standardized tests are available to predict cross-reactivity within the azole class and little guiding information exists on whether to change therapy within the class or to another class after a serious allergic reaction. Herein we report the first successful use, to our knowledge, of graded isavuconazole introduction for treatment of aspergillosis in a liver transplant recipient with severe voriconazole allergy.
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