©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 26, 2019; 7(16): 2374-2383
Published online Aug 26, 2019. doi: 10.12998/wjcc.v7.i16.2374
Published online Aug 26, 2019. doi: 10.12998/wjcc.v7.i16.2374
Treatment of invasive fungal disease: A case report
Xue-Fei Xiao, Jiong-Xing Wu, Department of Emergency and Intensive Medicine, The Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China
Yang-Cheng Xu, Department of Burn Plastic Surgery, The Third Xiangya Hospital, Central South University, Changsha 410013, Hunan Province, China
Author contributions: All authors contributed equally to this work; Xiao XF designed the research; Wu JX analyzed the data; Xu YC collected the data; Xiao XF, Wu JX and Xu YC wrote the paper.
Informed consent statement: Informed consent to publish was obtained from the patient.
Conflict-of-interest statement: All authors declare no conflict of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Xue-Fei Xiao, MD, PhD, Associate Professor, Doctor, Department of Emergency and intensive Medicine, The Third Xiangya Hospital, Central South University, 138 Tongzipo Road, Changsha 410013, Hunan Province, China. xiaoxuefei@csu.edu.cn
Telephone: +86-731-88921910 Fax: +86-731-88921910
Received: January 22, 2019
Peer-review started: January 23, 2019
First decision: March 18, 2019
Revised: May 17, 2019
Accepted: June 26, 2019
Article in press: June 27, 2019
Published online: August 26, 2019
Processing time: 216 Days and 21.3 Hours
Peer-review started: January 23, 2019
First decision: March 18, 2019
Revised: May 17, 2019
Accepted: June 26, 2019
Article in press: June 27, 2019
Published online: August 26, 2019
Processing time: 216 Days and 21.3 Hours
Core Tip
Core tip: In this case, the results from cervical and supraclavicular lymph node biopsies were different. It is very difficult to diagnose lymph node mycosis quickly in the early stage. When conventional anti-infective treatment is ineffective, multi-stage and multi-site lymph node biopsy is particularly important. The new antifungal drug Caspofungin and the empirical antifungal agent Voriconazole were ineffective, and successful treatment was achieved with Amphotericin B.