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PMID: 8328793 Published · ppublish English Journal Article Research Support, Non-U.S. Gov't Research Support, U.S. Gov't, P.H.S.

Susceptibilities of serial Cryptococcus neoformans isolates from patients with recurrent cryptococcal meningitis to amphotericin B and fluconazole.

Antimicrobial agents and chemotherapy ·Vol. 37 ·No. 6 ·1993-06-00 ·Pages 1383-6

Casadevall A, Spitzer ED, Webb D, Rinaldi MG

Abstract

Amphotericin B and fluconazole susceptibilities of 13 Cryptococcus neoformans isolates from five patients with recurrent cryptococcal meningitis were determined. For each patient, serial isolates showed no increase in antibiotic resistance relative to the initial isolate. For these patients, recurrent disease was not due to drug resistance but may reflect changes in immune function and/or poor compliance.

MeSH Terms
AIDS-Related Opportunistic Infections/drug therapy Amphotericin B/pharmacology Cryptococcus neoformans/drug effects Drug Resistance, Microbial Fluconazole/pharmacology Humans Meningitis, Cryptococcal/complications,drug therapy,microbiology Microbial Sensitivity Tests
Chemicals
Amphotericin B Fluconazole
Authors & Affiliations
4 authors, click to expand affiliations / ORCID
Casadevall A
Department of Medicine, Albert Einstein College of Medicine, Bronx, New York 10461.
Spitzer E D
Webb D
Rinaldi M G
References (24)
24 references, click to expand
  1. Letter: Antagonism between miconazole and amphotericin B.
    Lancet. 1976 Aug 7;2(7980):318 PMID: 59892
  2. Antibody-mediated protection in mice with lethal intracerebral Cryptococcus neoformans infection.
    Proc Natl Acad Sci U S A. 1993 Apr 15;90(8):3636-40 PMID: 8475112
  3. Improved diagnostic medium for separation of Cryptococcus neoformans var. neoformans (serotypes A and D) and Cryptococcus neoformans var. gattii (serotypes B and C).
    J Clin Microbiol. 1982 Mar;15(3):535-7 PMID: 7042750
  4. Antifungal action of amphotericin B in combination with other polyene or imidazole antibiotics.
    J Infect Dis. 1982 Aug;146(2):138-46 PMID: 6286784
  5. Effect of ketoconazole on the fungicidal action of amphotericin B in Candida albicans.
    Antimicrob Agents Chemother. 1983 Jan;23(1):185-7 PMID: 6299182
  6. The effect of ketoconazole on amphotericin B in a model of disseminated aspergillosis.
    J Infect Dis. 1985 May;151(5):902-10 PMID: 3989324
  7. Cryptococcosis in the acquired immunodeficiency syndrome.
    Ann Intern Med. 1985 Oct;103(4):533-8 PMID: 3898951
  8. Cryptococcal disease in patients with the acquired immunodeficiency syndrome. Diagnostic features and outcome of treatment.
    Ann Intern Med. 1986 Feb;104(2):234-40 PMID: 3946951
  9. Cryptococcal infections in patients with acquired immune deficiency syndrome.
    Am J Med. 1986 Jul;81(1):19-23 PMID: 3524224
  10. Azole antifungal agents: emphasis on new triazoles.
    Antimicrob Agents Chemother. 1988 Jan;32(1):1-8 PMID: 2831809
  11. Amphotericin B-resistant yeast infection in severely immunocompromised patients.
    Am J Med. 1988 May;84(5):826-32 PMID: 3284339
  12. Maintenance amphotericin B for cryptococcal meningitis in the acquired immunodeficiency syndrome (AIDS).
    Ann Intern Med. 1988 Oct 1;109(7):592-3 PMID: 3421567
  13. Oral fluconazole as suppressive therapy of disseminated cryptococcosis in patients with acquired immunodeficiency syndrome.
    Am J Med. 1988 Oct;85(4):481-9 PMID: 2845779
  14. Amphotericin B: current understanding of mechanisms of action.
    Antimicrob Agents Chemother. 1990 Feb;34(2):183-8 PMID: 2183713
  15. Comparison study of broth macrodilution and microdilution antifungal susceptibility tests.
    J Clin Microbiol. 1991 Jun;29(6):1089-94 PMID: 1864923
  16. Azole antifungal agents.
    Clin Infect Dis. 1992 Mar;14 Suppl 1:S161-9 PMID: 1314105
  17. Therapy for cryptococcal meningitis in patients with AIDS.
    Clin Infect Dis. 1992 Mar;14 Suppl 1:S54-9 PMID: 1562696
  18. Extensive allelic variation in Cryptococcus neoformans.
    J Clin Microbiol. 1992 May;30(5):1080-4 PMID: 1349897
  19. Protective murine monoclonal antibodies to Cryptococcus neoformans.
    Infect Immun. 1992 Nov;60(11):4534-41 PMID: 1398966
  20. Standardized susceptibility testing of fluconazole: an international collaborative study.
    Antimicrob Agents Chemother. 1992 Sep;36(9):1805-9 PMID: 1416871
  21. Susceptibility testing of Cryptococcus neoformans: a microdilution technique.
    J Clin Microbiol. 1992 Nov;30(11):2881-6 PMID: 1452658
  22. Multicenter evaluation of a broth macrodilution antifungal susceptibility test for yeasts.
    Antimicrob Agents Chemother. 1993 Jan;37(1):39-45 PMID: 8431016
  23. Persistence of initial infection in recurrent Cryptococcus neoformans meningitis.
    Lancet. 1993 Mar 6;341(8845):595-6 PMID: 8094831
  24. Mechanisms of action of the antimycotic imidazoles.
    J Invest Dermatol. 1981 Jun;76(6):438-41 PMID: 7017013
Article Info
Journal
Antimicrobial agents and chemotherapy
Abbr.
Antimicrob Agents Chemother
ISSN
0066-4804
Published
1993-06-00
Pages
1383-6
Language
English
Region
United States
NLM ID
0315061
PMCID
PMC187974
Subset
IM
Grants
NIAID NIH HHS · AI32430 · United States
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