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Efficacy of Azithromycin and Miltefosine in Experimental Systemic Pythiosis in Immunosuppressed Mice.


ABSTRACT: We evaluated the efficacy of azithromycin (50 mg/kg, every 12 h [q12h] orally) and miltefosine (25 mg/kg, q24h orally) treatments in an experimental model of vascular/disseminated pythiosis in immunosuppressed mice. Azithromycin was the only treatment able to reduce mortality. The histopathological findings showed acute vascular inflammation, pathogen dissemination, necrotizing myositis, neuritis, and arteritis. The results suggest that azithromycin, but not miltefosine, may have clinical relevance in the treatment of vascular/disseminated pythiosis.

SUBMITTER: Loreto ES 

PROVIDER: S-EPMC6325207 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature

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Efficacy of Azithromycin and Miltefosine in Experimental Systemic Pythiosis in Immunosuppressed Mice.

Loreto Erico S ES   Tondolo Juliana S M JSM   de Jesus Francielli P K FPK   Verdi Camila M CM   Weiblen Carla C   de Azevedo Maria I MI   Kommers Glaucia D GD   Santurio Janio M JM   Zanette Régis A RA   Alves Sydney H SH  

Antimicrobial agents and chemotherapy 20181221 1


We evaluated the efficacy of azithromycin (50 mg/kg, every 12 h [q12h] orally) and miltefosine (25 mg/kg, q24h orally) treatments in an experimental model of vascular/disseminated pythiosis in immunosuppressed mice. Azithromycin was the only treatment able to reduce mortality. The histopathological findings showed acute vascular inflammation, pathogen dissemination, necrotizing myositis, neuritis, and arteritis. The results suggest that azithromycin, but not miltefosine, may have clinical releva  ...[more]

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