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Antifungal combination therapy in localized candidosis
Authors:A Polak
Affiliation:Fa. Hoffmann-La Roche Ltd., Basel, Switzerland.
Abstract:A mouse model of localized candidosis in air-filled subcutaneous cysts imitating thrush has been developed. We have now tested various antifungal combinations in this animal model. Flucytosine (5-FC) + amphotericin B (Amph B) showed the highest efficacy, a clear additive or even synergistic effect was seen. The combination of 5-FC + imidazole or triazole derivative was less efficacious, an additive effect was rare. The combination of 5-FC + Amph B was also tested against Candida albicans strains showing various degrees of 5-FC-resistance. A significant reduction in 5-FC-resistant mutants was seen after the treatment with the combination.
Keywords:Candidosis  mouse model  combination therapy  antifungal drugs  amphotericin B  flucytosine  imidazoles  triazoles  fluconazole  ICI 195  739  itraconazole  ketoconazole  resistance  Candidose  Mausmodell  Kombinationstherapie  Antimyzetika  Amphotericin B  Flucytosin  Imidazole  Triazole  Fluconazol  ICI 195  739  Itraconazol  Ketoconazol  Resistenz
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