A breakthrough infection in an immune thrombocytopenia patient during caspofungin and isavuconazole combined therapy: a case report.

Front Cell Infect Microbiol

Departments of Critical Care Medicine, Qilu Hospital (Qingdao), Shandong University, Qingdao, Shandong, China.

Published: August 2025


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Article Abstract

infection is a rare but highly lethal infectious disease. Clinically, is the strain most commonly isolated from patients with infections. is an opportunistic pathogen that can cause local or invasive infections in immunocompromised patients. In this article, a case of breakthrough infection in an immune thrombocytopenia (ITP) patient during caspofungin and isavuconazole combined therapy is reported. Metagenomic next-generation sequencing (mNGS) played a crucial role in the diagnosis of the breakthrough infection in this patient. Upon receiving combined therapy with intravenous voriconazole and nebulized amphotericin B, the patient demonstrated significant clinical improvement and was subsequently discharged.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC12336242PMC
http://dx.doi.org/10.3389/fcimb.2025.1625007DOI Listing

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