Question:medium

Which of the following antifungal agents is NOT effective for the treatment of mucormycosis?

Show Hint

The azole used against Aspergillus that actually predisposes to breakthrough Mucorales infection.
Updated On: Jun 25, 2026
  • Isavuconazole
  • Posaconazole
  • Voriconazole
  • Amphotericin B
Show Solution

The Correct Option is C

Solution and Explanation

The trick here is to spot the one azole that cannot treat mucormycosis - that is voriconazole.

Mucorales are intrinsically resistant to voriconazole. Clinically this is more than a footnote: widespread voriconazole prophylaxis in neutropenic and transplant patients is a well-documented cause of breakthrough mucormycosis, because it suppresses Aspergillus while leaving the Mucorales niche open.

Effective options follow a clear hierarchy. Liposomal amphotericin B is the backbone of therapy, given alongside surgical debridement and reversal of the host risk factor. For step-down or salvage, the broad-spectrum azoles posaconazole and isavuconazole both retain anti-Mucorales activity (isavuconazole carries a specific FDA approval).

\[\boxed{\text{No anti-Mucorales activity} \Rightarrow \text{Voriconazole}}\]
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