Mechanisms of antifungal drug resistance

LE Cowen, D Sanglard… - Cold Spring …, 2015 - perspectivesinmedicine.cshlp.org
Antifungal therapy is a central component of patient management for acute and chronic
mycoses. Yet, treatment choices are restricted because of the sparse number of antifungal …

Azole-resistance in Aspergillus: proposed nomenclature and breakpoints

PE Verweij, SJ Howard, WJG Melchers… - Drug Resistance …, 2009 - Elsevier
Reports of itraconazole resistance in Aspergillus fumigatus have been more frequent since
the millennium. Identifying azole resistance is critically method dependent; nevertheless …

[HTML][HTML] Frequency and evolution of azole resistance in Aspergillus fumigatus associated with treatment failure

SJ Howard, D Cerar, MJ Anderson… - Emerging infectious …, 2009 - ncbi.nlm.nih.gov
Azoles are the mainstay of oral therapy for aspergillosis. Azole resistance in Aspergillus has
been reported infrequently. The first resistant isolate was detected in 1999 in Manchester …

An Outbreak of Phialemonium Infective Endocarditis Linked to Intracavernous Penile Injections for the Treatment of Impotence

J Strahilevitz, G Rahav, HJ Schroers… - Clinical infectious …, 2005 - academic.oup.com
Abstract Background. In March 2002, a patient in Tel Aviv, Israel, died of endocarditis
caused by Phialemonium curvatum. As part of his therapy for erectile dysfunction, the patient …

Azole antifungal resistance in Aspergillus fumigatus: 2008 and 2009

A Bueid, SJ Howard, CB Moore… - Journal of …, 2010 - academic.oup.com
Objectives Resistance to azole antifungal drugs in Aspergillus fumigatus is now a major
clinical problem in some locations. Here we update our previous experience with data from …

Multi-azole resistance in Aspergillus fumigatus

SJ Howard, I Webster, CB Moore, RE Gardiner… - International journal of …, 2006 - Elsevier
Azole resistance in Aspergillus spp. is unusual. We report a patient who received long-term
treatment with itraconazole and voriconazole for bilateral chronic cavitary aspergillosis with …

Adverse reactions to voriconazole

AE Boyd, S Modi, SJ Howard, CB Moore… - Clinical infectious …, 2004 - academic.oup.com
Voriconazole is a new antifungal agent effective in the treatment of invasive aspergillosis.
Interpatient variation in plasma concentrations is considerable—more than 100-fold. We …

Toxicodynamics of itraconazole: implications for therapeutic drug monitoring

JM Lestner, SA Roberts, CB Moore… - Clinical infectious …, 2009 - academic.oup.com
We explored concentration-toxicity relationships for itraconazole among 216 patients.
Logistic regression revealed a progressive increase in the probability of toxicity with …

Cryptic species and azole resistance in the Aspergillus niger complex

SJ Howard, E Harrison, P Bowyer, J Varga… - Antimicrobial Agents …, 2011 - Am Soc Microbiol
Aspergillus niger is a common clinical isolate. Multiple species comprise the Aspergillus
section Nigri and are separable using sequence data. The antifungal susceptibility of these …

Pharmacokinetics and pharmacodynamics of posaconazole for invasive pulmonary aspergillosis: clinical implications for antifungal therapy

SJ Howard, JM Lestner, A Sharp… - Journal of Infectious …, 2011 - academic.oup.com
Background. Posaconazole is a triazole with anti-Aspergillus activity. However, little is
known about the utility of posaconazole as primary therapy for invasive pulmonary …