Ketoconazole in the treatment of cryptococcosis of the central nervous system

Two patients with cryptococcosis of the CNS were treated with ketoconazole (KTZ), an imidazole derivative with fungistatic properties; they had either failed standard therapy (Amphotericin-B + 5-Flurocytosine) or suffred intolerable side-effects to it. Both patients were administered KTZ 800 mg/day as monotherapy for six months without interruption and both responded. One month after KTZ therapy was withdrawn, however, a relapse of the infection was seen in one case. Side-effects were minimal during the trial of treatment. KTZ could be a useful drug in some cases of neurocryptococcosis.

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Bibliographic Details
Main Authors: Trevisol-Bittencourt,P. C., Sander,J. W. A. S., Silvado,C. S., Wittig,E. O.
Format: Digital revista
Language:English
Published: Academia Brasileira de Neurologia - ABNEURO 1991
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X1991000200016
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Description
Summary:Two patients with cryptococcosis of the CNS were treated with ketoconazole (KTZ), an imidazole derivative with fungistatic properties; they had either failed standard therapy (Amphotericin-B + 5-Flurocytosine) or suffred intolerable side-effects to it. Both patients were administered KTZ 800 mg/day as monotherapy for six months without interruption and both responded. One month after KTZ therapy was withdrawn, however, a relapse of the infection was seen in one case. Side-effects were minimal during the trial of treatment. KTZ could be a useful drug in some cases of neurocryptococcosis.