Bronchoscopic local instillation of amphotericin B deoxycholate as adjunctive therapy for pulmonary mucormycosis with inadequate response to posaconazole: a retrospective case series - Takeaways - MDSpire
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Endobronchial Administration of Amphotericin B Deoxycholate as an Adjunctive Treatment for Pulmonary Mucormycosis Unresponsive to Posaconazole: A Retrospective Case Review

  • By

  • Liyan Qiu

  • Binyue Liang

  • Hua Zhou

  • August 17, 2026

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  • 1

    Pulmonary mucormycosis is a severe fungal infection primarily affecting immunocompromised individuals, often requiring systemic antifungal therapy.

  • 2

    A retrospective review identified five patients with pulmonary mucormycosis who did not respond adequately to posaconazole-based therapy.

  • 3

    Patients underwent bronchoscopic airway clearance followed by local administration of amphotericin B deoxycholate, with no reported adverse events.

  • 4

    Follow-up CT scans showed partial absorption or shrinkage of pulmonary lesions in all five patients after local amphotericin B treatment.

  • 5

    The study suggests that local amphotericin B deoxycholate may be a feasible adjunctive treatment for pulmonary mucormycosis unresponsive to posaconazole.

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