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Antimicrobial Agents and Chemotherapy, May 1998, p. 1068-1072, Vol. 42, No. 5
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.

Drug Evaluation of Concurrent Pneumocystis carinii, Toxoplasma gondii, and Mycobacterium avium Complex Infections in a Rat Model

Monique Brun-Pascaud,1,* Premavathy Rajagopalan-Levasseur,1 Françoise Chau,1 Guylène Bertrand,1 Louis Garry,1 Francis Derouin,2 and Pierre-Marie Girard3

Institut National de la Santé et de la Recherche Médicale Unité 13 Hôpital Bichat-Claude Bernard,1 Laboratoire de Parasitologie-Mycologie, Hôpital St-Louis,2 and Service des Maladies Infectieuses, Hôpital Rothschild,3 Paris, France

Received 19 September 1997/Returned for modification 8 December 1997/Accepted 3 February 1998

We present a new experimental model for the simultaneous evaluation of the activities of drugs against Pneumocystis carinii, Toxoplasma gondii, and Mycobacterium avium complex infections. Rats latently infected with P. carinii were challenged with the MO-1 strain of M. avium and then immunosuppressed with corticosteroids for 7 weeks. At week 5 the RH strain of T. gondii was intraperitoneally injected. Organs were examined for the three pathogens after death or killing of the animals at week 7. Without treatment, rats challenged with T. gondii died with pulmonary P. carinii infection and disseminated T. gondii and M. avium infections. In order to assess the value of the model for evaluation of the activities of drugs, we administered by oral gavage for 7 weeks drugs or combinations of drugs selected for their individual efficacies against at least one pathogen. We found that clarithromycin with sulfamethoxazole, clarithromycin with atovaquone, roxithromycin with sulfamethoxazole or dapsone, and rifabutin with atovaquone were effective against the three infections, whereas PS-15 with dapsone and trimethoprim with sulfamethoxazole were active against Toxoplasma and Pneumocystis infections only. This triple-infection rat model offers a new tool for the simultaneous evaluation of the activities of drugs against three of the major opportunistic infections occurring in immunosuppressed individuals.


* Corresponding author. Mailing address: INSERM U 13, Hôpital Bichat-Claude Bernard, 46 rue Henri Huchard, 75877 Paris Cedex 18, France. Phone: 33 1 40 25 86 05. Fax: 33 1 40 25 86 02. E-mail: u13bcb{at}magic.fr.


Antimicrobial Agents and Chemotherapy, May 1998, p. 1068-1072, Vol. 42, No. 5
0066-4804/98/$04.00+0
Copyright © 1998, American Society for Microbiology. All rights reserved.



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