Early Treatment With Fluconazole May Abrogate the Development of IgG Antibodies in Coccidioidomycosis
Author(s) -
George R. Thompson,
Jennine M. Lunetta,
S. M. Johnson,
Sandra L. Taylor,
Declan Bays,
Stuart H. Cohen,
D. Pappagianis
Publication year - 2011
Publication title -
clinical infectious diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.44
H-Index - 336
eISSN - 1537-6591
pISSN - 1058-4838
DOI - 10.1093/cid/cir466
Subject(s) - coccidioides , medicine , coccidioides immitis , fluconazole , antibody , immunology , antigen , immunoglobulin g , serology , mycosis , immunoglobulin m , antifungal , dermatology
We have observed a number of patients who fail to develop coccidioidal complement fixing (CF) antibody (immunoglobulin [IgG]) after the initiation of early antifungal therapy. Although this is the first description of this phenomenon in mycology, a precedent for the abrogation of the immune response has been observed in other conditions, including primary syphilis and primary Lyme disease.
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