title: Madurella mycetomatis is not susceptible to the echinocandin class of antifungal agents.
abstract: Eumycetoma caused by Madurella mycetomatis is treated surgically and with high doses of ketoconazole. Therapeutic responses are poor, and recurrent infections are common. In search of therapeutic alternatives in the treatment of mycetoma, we determined the in vitro susceptibilities of M. mycetomatis isolates against caspofungin, anidulafungin, and micafungin. As a comparator fungus, Aspergillus fumigatus was used. Minimal effective concentrations (MECs) and MICs were assessed and compared to those of ketoconazole. M. mycetomatis isolates were not susceptible to the echinocandins.
authors.affiliation: Erasmus MC, University Medical Center Rotterdam, Department of Medical Microbiology and Infectious Diseases' CE Rotterdam, The Netherlands. w.vandesande@erasmusmc.nl
authors.forename: Wendy W J
authors.initials: WW
authors.lastname: van de Sande
authors.forename: Ahmed H
authors.initials: AH
authors.lastname: Fahal
authors.forename: Irma A J M
authors.initials: IA
authors.lastname: Bakker-Woudenberg
authors.forename: Alex
authors.initials: A
authors.lastname: van Belkum
mesh_terms: D000077612:Anidulafungin; D000935:Antifungal Agents / Q000494:pharmacology*; D001232:Aspergillus fumigatus / Q000187:drug effects; D000077336:Caspofungin; D025141:Drug Resistance, Fungal; D054714:Echinocandins / Q000494:pharmacology*; D006801:Humans; D066298:In Vitro Techniques; D055666:Lipopeptides / Q000494:pharmacology; D020461:Madurella / Q000187:drug effects* / Q000302:isolation & purification; D000077551:Micafungin; D008826:Microbial Sensitivity Tests; D008271:Mycetoma / Q000188:drug therapy* / Q000382:microbiology*
chemical_list: D000935:Antifungal Agents; D054714:Echinocandins; D055666:Lipopeptides; D000077612:Anidulafungin; D000077336:Caspofungin; D000077551:Micafungin