Articles | Volume 11, issue 4
https://doi.org/10.5194/jbji-11-395-2026
https://doi.org/10.5194/jbji-11-395-2026
Case report
 | 
06 Jul 2026
Case report |  | 06 Jul 2026

Literature review and case report on the use of rezafungin for spondylodiscitis in an outpatient parenteral antimicrobial therapy (OPAT) setting

Alexander J. Richards, Ammara Asif, Monica Ivan, Patrick J. Lillie, Gavin Barlow, and Chloe Walsh

Cited articles

Abduljalil, H., Bartie, K., Bal, A., Rautemaa-Richardson, R., Williams, C., Kean, R., and Ramage, G.: Rezafungin exhibits anti-biofilm properties against fungal biofilms in vitro, J. Antimicrob. Chemoth., 81, dkag058, https://doi.org/10.1093/jac/dkag058, 2026. 
Burnett, Y. J., Spec, A., Ahmed, M. M., Powderly, W. G., and Hamad, Y.: Experience with Liposomal Amphotericin B in Outpatient Parenteral Antimicrobial Therapy, Antimicrob. Agents Ch., 65, e01876-20, https://doi.org/10.1128/AAC.01876-20, 2021. 
CDC (Centre for Disease Control): Data and Statistics on Candidemia, https://www.cdc.gov/candidiasis/data-research/facts-stats/index.html, last access: April 2024. 
Chiurlo, M.: P3398 First case of Candida glabrata prosthetic knee infection treated with rezafungin: case report, ECCMID, Copenhagen, https://elibrary.escmid.org/? search[from]=0&search[query]=chiurlo&search[date]=&tab=docs#results (last access: 1 July 2026), April 2023. 
Cidara Therapeutics: Rezzayo (rezafungin) patient information leaflet (via Medicines.org), https://www.medicines.org.uk/emc/files/pil.15479.pdf, last access: February 2025. 
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Short summary
Fungal infection can be difficult to treat, requiring long periods of hospitalisation. Rezafungin is a promising new antifungal medication that can be used to treat complex, deep-seated fungal infection. We examine the reported use of rezafungin in managing fungal infection of the bones and joints in an outpatient setting. Our case helps to provide further experience in the use of rezafungin as a powerful tool in helping patients get out of hospital and avoid further admissions.
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