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Hyperbaric oxygen as an adjunctive treatment for zygomycosis.

Abstract
Zygomycosis is a rare but emerging mycosis. Because of the sub-optimal efficacy of the standard antifungal treatment for this disease, hyperbaric oxygen (HBO) has been used occasionally as an adjunctive therapeutic modality. A review of 28 published cases of zygomycosis indicates that adjunctive HBO may be beneficial in diabetic patients (94% survival), whereas its benefit in the small group of patients with haematological malignancies or bone marrow transplants is doubtful (33% survival; p 0.02). Prolonged courses of HBO were associated with a higher survival (100% survival; p 0.003). Additional studies are required to assess the optimal timing and dose for HBO treatment.
AuthorsB V John, G Chamilos, D P Kontoyiannis
JournalClinical microbiology and infection : the official publication of the European Society of Clinical Microbiology and Infectious Diseases (Clin Microbiol Infect) Vol. 11 Issue 7 Pg. 515-7 (Jul 2005) ISSN: 1198-743X [Print] England
PMID15966968 (Publication Type: Editorial, Review)
Topics
  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Diabetes Complications (therapy)
  • Hematologic Neoplasms (complications, microbiology)
  • Humans
  • Hyperbaric Oxygenation
  • Infant
  • Male
  • Middle Aged
  • Mucorales
  • Treatment Outcome
  • Zygomycosis (complications, therapy)

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