Use of Nebulized Amphotericin B in the Treatment of Allergic Bronchopulmonary Aspergillosis in Cystic Fibrosis

Background. Systemic steroids and adjunctive antifungal therapy are the cornerstone in treating allergic bronchopulmonary aspergillosis (ABPA) in the context of CF. Aim. Evaluate the use of inhaled amphotericin B (iAMB) as antifungal agent in this context. Methods. Report of 7 CF patients with recurrent or difficult to treat ABPA and failure to taper systemic corticosteroids treated with AMB deoxycholate (AMB-d) (Fungizone 25 mg 3× a week) or AMB lipid complex (ABLC) (Abelcet 50 mg twice weekly). Successful therapy was defined as steroid withdrawal without ABPA relapse within 12 months. Results. Therapy was successful in 6 of 7 patients treated with iAMB. In 5/6, lung function improved. The patient with treatment failure has concomitant MAC lung infection. Conclusion. Inhaled AMB may be an alternative to commonly used adjunctive antifungal therapy in the treatment of ABPA. More data are needed on safety and efficacy

Response Mixture Modeling of Intraindividual Differences in Responses and Response Times to the Hungarian WISC-IV Block Design Test

Response times may constitute an important additional source of information about cognitive ability as it enables to distinguishing between different intraindividual response processes. In this paper, we present a method to disentangle interindividual variation from intraindividual variation in the responses and response times of 978 subjects to the 14 items of the Hungarian WISC-IV Block Design test. It is found that faster and slower responses differ in their measurement properties suggesting that there are intraindivual differences in the response processes adopted by the subjects