2023
DOI: 10.3389/fcimb.2023.1131416
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Analysis of the synergistic antifungal activity of everolimus and antifungal drugs against dematiaceous fungi

Abstract: IntroductionChromoblastomycosis (CBM) is a form of chronic mycosis that affects the skin and mucous membranes and is caused by species of dematiaceous fungi including Exophiala spp., Phialophora spp., and Fonsecaea spp. The persistence of this disease and limitations associated with single-drug treatment have complicated efforts to adequately manage this condition.MethodsIn this study, a microdilution assay was used to explore the synergistic antifungal activity of everolimus (EVL) in combination with itracon… Show more

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Cited by 2 publications
(2 citation statements)
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References 31 publications
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“…Diagnosing both infections is notoriously challenging and difficult, with chromoblastomycosis typically taking an average of nine years to be correctly identified. In many cases, the causative species remains unidentified [3], a crucial concern since recent studies have highlighted variations in pathogenicity, virulence, tropism, and susceptibility to antifungals among these species [1,2,27]. Therefore, identifying the causative agent is essential for a more accurate prognosis [28].…”
Section: Discussionmentioning
confidence: 99%
“…Diagnosing both infections is notoriously challenging and difficult, with chromoblastomycosis typically taking an average of nine years to be correctly identified. In many cases, the causative species remains unidentified [3], a crucial concern since recent studies have highlighted variations in pathogenicity, virulence, tropism, and susceptibility to antifungals among these species [1,2,27]. Therefore, identifying the causative agent is essential for a more accurate prognosis [28].…”
Section: Discussionmentioning
confidence: 99%
“…The failure to determine these agents directly impacts the management of these infections, as depending on the species, the infection can lead to severe systemic commitment [14,31,32] or be resistant to certain antifungal therapy [33][34][35]. Besides the clinical context, the identification of the agent is crucial for the epidemiological monitoring of these infections, providing data for control and prevention strategies [7].…”
Section: Discussionmentioning
confidence: 99%