Synergistic effect of antituberculosis drugs and azoles in vitro against Histoplasma capsulatum var. capsulatum

Antimicrob Agents Chemother. 2011 Sep;55(9):4482-4. doi: 10.1128/AAC.01471-10. Epub 2011 Jun 20.

Abstract

This study evaluated in vitro interactions of antituberculosis drugs and triazoles against Histoplasma capsulatum. Nine drug combinations, each including an antituberculosis drug (isoniazid, pyrazinamide, or ethambutol) plus a triazole (itraconazole, fluconazole, or voriconazole), were tested against both growth forms of H. capsulatum. Stronger synergistic interactions were seen in isoniazid or pyrazinamide plus triazoles for the mold form and ethambutol plus voriconazole for the yeast-like form. Further studies should evaluate these combinations in vivo.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antitubercular Agents / pharmacology*
  • Drug Combinations
  • Drug Interactions
  • Ethambutol / pharmacology
  • Fluconazole / pharmacology
  • Histoplasma / drug effects*
  • Isoniazid / pharmacology
  • Itraconazole / pharmacology
  • Pyrazinamide / pharmacology
  • Pyrimidines / pharmacology
  • Triazoles / pharmacology
  • Voriconazole

Substances

  • Antitubercular Agents
  • Drug Combinations
  • Pyrimidines
  • Triazoles
  • Pyrazinamide
  • Itraconazole
  • Ethambutol
  • Fluconazole
  • Voriconazole
  • Isoniazid