학술논문

Cotrimoxazole enhances the in vitro susceptibility of Coccidioides posadasii to antifungals
Document Type
article
Source
Memórias do Instituto Oswaldo Cruz. December 2011 106(8)
Subject
Coccidioides posadasii
cotrimoxazole
antifungals
susceptibility
antimicrobial synergism
Language
English
ISSN
0074-0276
Abstract
The aim of the present study was to evaluate the effect of cotrimoxazole on the in vitro susceptibility of Coccidioides posadasii strains to antifungals. A total of 18 strains of C. posadasii isolated in Brazil were evaluated in this study. The assays were performed in accordance with the Clinical and Laboratory Standards Institute guidelines and the combinations were tested using the checkerboard method. The minimum inhibitory concentrations were reduced by 11, 2.4, 4.3 and 3.5 times for amphotericin B, itraconazole, fluconazole and voriconazole, respectively. Moreover, it was seen that cotrimoxazole itself inhibited C. posadasii strains in vitro. The impairment of folic acid synthesis may be a potential antifungal target for C. posadasii.