Subtherapeutic Ocular Penetration of Caspofungin and Associated Treatment Failure in Candida albicans Endophthalmitis

Candida endophthalmitis represents the most serious ocular complication of candidemia. The pharmacokinetics and pharmacodynamics of fluconazole, amphotericin B, and flucytosine are fairly well established in endophthalmitis therapy. There remains a paucity of clinical data regarding the utility of n...

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Veröffentlicht in:Clinical infectious diseases 2005-08, Vol.41 (3), p.e27-e28
Hauptverfasser: Gauthier, G. M., Nork, T. M., Prince, R., Andes, D.
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container_title Clinical infectious diseases
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creator Gauthier, G. M.
Nork, T. M.
Prince, R.
Andes, D.
description Candida endophthalmitis represents the most serious ocular complication of candidemia. The pharmacokinetics and pharmacodynamics of fluconazole, amphotericin B, and flucytosine are fairly well established in endophthalmitis therapy. There remains a paucity of clinical data regarding the utility of new antimycotic agents in the treatment of fungal chorioretinitis and endophthalmitis. We report a case of clinical failure of caspofungin in the management of Candida albicans endophthalmitis associated with poor vitreous penetration.
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source Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adult
Amphotericin B - therapeutic use
Antifungal Agents - therapeutic use
Candida albicans
Candidiasis - drug therapy
Drug Combinations
Echinocandins
Endophthalmitis - drug therapy
Humans
Lipopeptides
Male
Peptides, Cyclic - therapeutic use
Phosphatidylcholines - therapeutic use
Phosphatidylglycerols - therapeutic use
Treatment Failure
title Subtherapeutic Ocular Penetration of Caspofungin and Associated Treatment Failure in Candida albicans Endophthalmitis
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