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Med Mycol. 2015 Feb 1;53(2):178-88. doi: 10.1093/mmy/myu056. Epub 2014 Nov 13.

Susceptibility of Sporothrix brasiliensis isolates to amphotericin B, azoles, and terbinafine.

Author information

1
Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
2
Department of Microbiology, Immunology and Parasitology, Federal University of São Paulo, São Paulo, Brazil.
3
Department of Cell Biology, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
4
University Hospital Clementino Fraga Filho, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
5
Department of Microbiology, University of São Paulo, São Paulo, Brazil.
6
Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil rozental@biof.ufrj.br.

Abstract

The in vitro activity of the antifungal agents amphotericin B (AMB), itraconazole (ITC), posaconazole (PSC), voriconazole (VRC), and terbinafine (TRB) against 32 Brazilian isolates of Sporothrix brasiliensis, including 16 isolates from a recent (2011-2012) epidemic in Rio de Janeiro state, was examined. We describe and genotype new isolates and clustered them with 16 older (from 2004 or earlier) S. brasiliensis isolates by phylogenetic analysis. We tested both the yeast and the mycelium form of all isolates using broth microdilution methods based on the reference protocols M38-A2 and M27-A3 (recommended by the Clinical and Laboratory Standards Institute). Considering minimum inhibitory concentrations (MICs) and minimum fungicidal concentrations (MFCs), TRB was found to be the most active drug in vitro for both fungal forms, followed by PSC. Several isolates showed high MICs for AMB and/or ITC, which are currently used as first-line therapy for sporotrichosis. VRC displayed very low activity against S. brasiliensis isolates. The primary morphological modification observed on treated yeasts by transmission electron microscopy analysis was changes in cell wall. Our results indicate that TRB is the antifungal with the best in vitro activity against S. brasiliensis and support the use of TRB as a promising option for the treatment of cutaneous and/or lymphocutaneous sporotrichosis.

KEYWORDS:

Sporothrix brasiliensis; amphotericin B; antifungal susceptibility; azoles; terbinafine; ultrastructure

PMID:
25394542
DOI:
10.1093/mmy/myu056
[Indexed for MEDLINE]

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