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Antimicrobial Agents and Chemotherapy, May 2000, p. 1159-1162, Vol. 44, No. 5
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.

SCH 56592, Amphotericin B, or Itraconazole Therapy of Experimental Murine Cerebral Phaeohyphomycosis Due to Ramichloridium obovoideum ("Ramichloridium mackenziei")

Hail M. Al-Abdely,1,2,* Laura Najvar,1 Rosie Bocanegra,1 Annette Fothergill,1 David Loebenberg,3 Michael G. Rinaldi,1,2 and John R. Graybill1,2

Division of Infectious Diseases, Department of Medicine, The University of Texas Health Science Center at San Antonio,1 and Audie Murphy Veterans Administration Hospital,2 San Antonio, Texas 78284, and Schering Plough Research Institute, Kenilworth, New Jersey 070333

Received 29 September 1999/Returned for modification 23 December 1999/Accepted 1 February 2000

Ramichloridium obovoideum ("Ramichloridium makenziei") is a rare cause of lethal cerebral phaeohyphomycosis. It has been, so far, geographically restricted to the Middle East. BALB/c mice were inoculated with two strains of R. obovoideum intracranially. Therapy with amphotericin B, itraconazole, or the investigational triazole SCH 56592 was conducted for 10 days. Half the mice were monitored for survival and half were killed for determination of the fungal load in brain tissue. Recipients of SCH 56592 had significantly prolonged survival and lower brain fungal burden, and this result was found for mice infected with both of the fungal strains tested. Itraconazole reduced the brain fungal load in mice infected with one strain but not the other, while amphotericin B had no effect on brain fungal concentrations. This study indicates a possible role of SCH 56592 in the treatment of the serious cerebral phaeohyphomycosis due to R. obovoideum.


* Corresponding author. Present address: Division of Infectious Diseases, Department of Medicine (MBC 46), King Faisal Specialist Hospital and Research Center, P.O. Box 3354, Riyadh II 21 1, Saudi Arabia. Phone: (966) 1-442-7494. Fax: (966) 1-442-7499. E-mail: abdely{at}kfshrc.edu.sa.


Antimicrobial Agents and Chemotherapy, May 2000, p. 1159-1162, Vol. 44, No. 5
0066-4804/00/$04.00+0
Copyright © 2000, American Society for Microbiology. All rights reserved.



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