We describe here in vitro activity for the combination of azithromycin or terbinafine and benzalkonium, cetrimide, cetylpyridinium, mupirocin, triclosan, or potassium permanganate. With the exception of potassium permanganate, the remaining antimicrobial drugs were active and had an MIC90 between 2 and 32 μg∕ml. The greatest synergism was observed for the combination of terbinafine and cetrimide (71.4%). In vivo experimental evaluations will clarify the potential of these drugs for the topical treatment of lesions caused by Pythium insidiosum.
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http://dx.doi.org/10.1128/AAC.00154-16 | DOI Listing |
Sci Total Environ
December 2024
Division for Marine and Environmental Research, Ruder Boskovic Institute, Bijenicka c. 54, 10000 Zagreb, Croatia.
BMC Infect Dis
May 2024
Department of Pediatrics, Division of Pediatric Infectious Diseases, University of Florida College of Medicine, Gainesville, FL, USA.
Background: Lagenidium deciduum is an oomycete that can cause infections in mammals that present similarly to pythiosis and mucormycosis. Most of the existing case reports have occurred in canines and have been fatal. In animals, medical therapy has not been successful, so surgical excision is the mainstay of treatment.
View Article and Find Full Text PDFIDCases
August 2023
Division of Infectious Diseases and Tropical Medicine, Department of Internal Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand.
Pythiosis is a fatal disease which has high incidence in tropical regions. In contrast with vascular pythiosis, cutaneous and subcutaneous pythiosis are both uncommon. Here, we report a case of subcutaneous pythiosis in a pregnant farmer manifested with a progressively larger and more painful mass at right deltoid.
View Article and Find Full Text PDFEur J Med Res
November 2021
Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.
Background: Pythium, soil-borne plant pathogens, are in the class Oomycetes. They are not true fungi, but are related to diatom and algae. There are two human pathogens including P.
View Article and Find Full Text PDFAntimicrob Agents Chemother
March 2020
Department of Microbiology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Human pythiosis is a life-threatening human disease caused by In Thailand, vascular pythiosis is the most common form and carries a mortality rate of 10 to 40%, despite aggressive treatment with radical surgery, antifungal agents, and immunotherapy. Itraconazole and terbinafine have been the mainstay of treatment, until recently, based on case report data showing potential synergistic effects against Brazilian isolates. However, the synergistic effects of itraconazole and terbinafine against Thai isolates were not observed.
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