A renal transplant recipient developed intracranial aspergillosis, and
whilst receiving conventional amphotericin B therapy (1 mg/kg daily)
developed acute anuric renal failure necessitating discontinuation of
therapy. He then received liposomal amphotericin B (Ambisome(R)) at 2
mg/kg daily with no recurrence of renal toxicity. Liposomal amphoteric
in B appears to be safe in the management of severe fungal infections
in renal transplant patients in whom preservation of renal function is
crucial.