Topics

Candida auris in the sputum
Dear expert team, if there is Candida auris found in the sputum for the first time, should one react to that? What would you propose concering diagnostic and therapy?
15.02.2019
Stenotrophomonas maltophilia
Dear expert team! this germ can be found in the samples of my son for a longer period of time. Does it make sense to treat? Many thanks
26.10.2018
CFTR correctors
Dear expert team, on the 27th of july 2018the European committee for human drugs has licensed a new drug for delF508 and delF508+residual function mutation. Is this drug also licensed for patients with a residual function mutation or only in combination with delF508? Especially for the rare group of patiens with residual function mutations it is nearly impossible to do an in-vivo study, which seems to be mandatory for the European authorities in order to license the drug. Furthermore the group of the residual function mutations is a rather small group which is not interesting from the marketing standpoint for the companies an therefore it seems improbable that studies or licensing will follow. How do you judge the availability of drugs for residual function mutations in Europe in the near future? Many thanks!
26.10.2018
Symkevi
Dear expert team, what do you think, when will Symkevi be on the market in Germany? I read in some articles that it should be more efficient than Orkambi (2% more increasing of the lung function compared to Orkambi). Also the side effects seem to be markedly less. Furthermore, if the combinations of 3 will enter the market sometime, one would be already on Symkevi (combination of 3 consists of Symkevi and another drug). Do you habe any data? Are the first studies on the combination of 3 finished in January (clinicaltrials.org)? Do you think one should change to Symkevi or go on taking Orkambi (thanks to Orkambi 10-12% more lung funciton) Many thanks,
26.10.2018
Alternative inhalation for Bramitop
Dear expert team, my son (31) inhales Bramitop (Tobramycin) and Colistin on/off. As soon as he changes to Bramitop, he hears himself double, which bothers him. In the time of Colistin inhalation the hearing changes return to normal still. I emphasize the word "still". Are there any alternative inhalations that do not impair the hearing but are as effective or even better than Bramitop? He has Pseudomonas 3 MRGN and the fungus Scedosporium prolificabs. Many thanks
26.10.2018
CF and intolerance of acetylsalicylic acid
Dear ladies and gentlemen, I care for a 17-year-old patient with CF: homozygous for c.358G>A, p.(Ala120Thr), pancreatic sufficient, first diagnosis made at the age of 17; symptoms: nasal polypes for 1 year (polypes were removed 09/17 and 07/18), no pulmonary symptoms, normal lung function, FEV1 101%, CT of the thorax without pathological findings, no MRSA My question: 1. How can the mutation be judged? I was not able to find it under www.cftr2.org. The clinical course favours a mild course, but can one say more about it? 2. Is there any experience about CF and acetylsalicylic acid deactivation? Many thanks
26.10.2018
Germ load of the Baltic sea
Dear expert team, many pulic institutions warn about dangerous germs in the Baltic sea (Vibrio vulnificus). Patients with immunosupression and patients with underlying diseases should not bath in the Baltic sea. Is there a danger for children with CF (not-transplanted) and would you dehort from taking a bath in the Baltic sea? Many thanks for your advice, J. B.
01.10.2018
Possibility of CF
I am 10 weeks pregnant. After checking for 100% of CF mutations I was found to carry the DF508 mutation, while my husband carries the (c.31G>A) rs 1800072 mutation. What are the chances for CF?
09.09.2018
Mutation p997F
My wife is pregnant. After getting tested for CF mutations she was found to carry the DF508 mutation. I was checked as well, for 99.6% of pathogenic mutations, without tracing any. However, in the results it is written in small print that the investigated sample is heterozygote for the p997F(c.2991G>C, rs1800111) mutation, which is characterized as non pathogenic in the CFTR2 database. My question is what, if any, are the possible consequences for the child.
09.09.2018
Baby with possible CF
I have a 6 months old baby (weight" 7.6 kg, height 74 cm). It was born 3.9 kg in weight and 53 cm in height. I was tested before getting pregnant for CF and was found not to carry the DF508 mutation. My husband has not been tested. My baby had two episodes of bronchiolitis in a month. Some times there is dyspnoea, but the wheezing has been reduced a lot. The stool is normal. Is there a chance for CF?
09.09.2018
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