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In Vitro Activity of Terbinafine Combined with Caspofungin and Azoles against Pythium insidiosum
Author(s) -
Ayrton Sydnei Cavalheiro,
Grazieli Maboni,
Maria I. Azevedo,
Juliana Siqueira Argenta,
Daniela Isabel Brayer Pereira,
Tatiana Borba Spader,
Sydney Hartz Alves,
Jânio Morais Santúrio
Publication year - 2009
Publication title -
antimicrobial agents and chemotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.07
H-Index - 259
eISSN - 1070-6283
pISSN - 0066-4804
DOI - 10.1128/aac.01506-08
Subject(s) - terbinafine , caspofungin , miconazole , fluconazole , ketoconazole , microbiology and biotechnology , voriconazole , pharmacology , broth microdilution , checkerboard , biology , itraconazole , antifungal , minimum inhibitory concentration , antibiotics
In this text we evaluated the in vitro antifungal activities of terbinafine combined with caspofungin, miconazole, ketoconazole, and fluconazole against 17 Pythium insidiosum strains by using the microdilution checkerboard method. Synergistic interactions were observed with terbinafine combined with caspofungin (41.2% of the strains), fluconazole (41.2%), ketoconazole (29.4%), and miconazole (11.8%). No antagonistic effects were observed. The combination of terbinafine plus caspofungin or terbinafine plus fluconazole may have significant therapeutic potential for treatment of pythiosis.

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