EXPERIMENTAL EVALUATION OF COMBINED PROPHYLAXIS AGAINST MURINE PNEUMOCYSTOSIS AND TOXOPLASMOSIS

被引:20
作者
BRUNPASCAUD, M [1 ]
CHAU, F [1 ]
SIMONPOLI, AM [1 ]
GIRARD, PM [1 ]
DEROUIN, F [1 ]
POCIDALO, JJ [1 ]
机构
[1] HOP ST LOUIS,PARASITOL MYCOL LAB,PARIS,FRANCE
关键词
D O I
10.1093/infdis/170.3.653
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Prophylactic efficacy of antimicrobial agents against pneumocystosis and toxoplasmosis was examined in a model of concurrent Pneumocystis carinii and Toxoplasma gondii infections in rats. Corticosteroid-treated rats naturally infected by P. carinii were challenged with the RH strain of T. gondii. Infection was assessed by counting P. carinii cysts in lung and by titration of T. gondii in tissues by tissue culture. Untreated rats died after challenge, with P. carinii infection in lungs and T. gondii infection in liver, spleen, lungs, and brain. In rats that received trimethoprim-sulfamethoxazole or pyrimethamine plus dapsone, T. gondii was eradicated and P. carinii pneumonia prevented. Roxithromycin, 200 or 400 mg/kg, provided significant protection against toxoplasmosis but had no efficacy against P. carinii. Atovaquone, 100 or 200 mg/kg, had only partial efficacy against pneumocystosis and toxoplasmosis. These results definitively confirm use of trimethoprim-sulfamethoxazole and pyrimethamine plus dapsone for prophylaxis against combined infection in immunocompromised hosts.
引用
收藏
页码:653 / 658
页数:6
相关论文
共 30 条
[1]   THE ACTIVITY OF ATOVAQUONE-(566C80) IN MURINE TOXOPLASMOSIS IS MARKEDLY AUGMENTED WHEN USED IN COMBINATION WITH PYRIMETHAMINE OR SULFADIAZINE [J].
ARAUJO, FG ;
LIN, T ;
REMINGTON, JS .
JOURNAL OF INFECTIOUS DISEASES, 1993, 167 (02) :494-497
[2]   INVIVO ACTIVITY OF THE MACROLIDE ANTIBIOTICS AZITHROMYCIN, ROXITHROMYCIN AND SPIRAMYCIN AGAINST TOXOPLASMA-GONDII [J].
ARAUJO, FG ;
SHEPARD, RM ;
REMINGTON, JS .
EUROPEAN JOURNAL OF CLINICAL MICROBIOLOGY & INFECTIOUS DISEASES, 1991, 10 (06) :519-524
[3]   REMARKABLE INVITRO AND INVIVO ACTIVITIES OF THE HYDROXYNAPHTHOQUINONE 566C80 AGAINST TACHYZOITES AND TISSUE CYSTS OF TOXOPLASMA-GONDII [J].
ARAUJO, FG ;
HUSKINSON, J ;
REMINGTON, JS .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1991, 35 (02) :293-299
[4]  
BENEDETTO N, 1993, PATHOL BIOL, V41, P404
[5]   LOW-DOSE TRIMETHOPRIM-SULFAMETHOXAZOLE ALONE AND IN ASSOCIATION WITH ZIDOVUDINE FOR PREVENTION AND TREATMENT OF MURINE PNEUMOCYSTIS-CARINII PNEUMONIA [J].
BRUNPASCAUD, M ;
GIRARD, PM ;
POCIDALO, JJ .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1992, 36 (10) :2328-2330
[6]   LOW-DOSE TRIMETHOPRIM-SULFAMETHOXAZOLE PROPHYLAXIS FOR TOXOPLASMIC ENCEPHALITIS IN PATIENTS WITH AIDS [J].
CARR, A ;
TINDALL, B ;
BREW, BJ ;
MARRIOTT, DJ ;
HARKNESS, JL ;
PENNY, R ;
COOPER, DA .
ANNALS OF INTERNAL MEDICINE, 1992, 117 (02) :106-111
[7]   EFFECT OF ROXITHROMYCIN ON ACUTE TOXOPLASMOSIS IN MICE [J].
CHANG, HR ;
PECHERE, JCF .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1987, 31 (07) :1147-1149
[8]  
CHINCHILLA M, 1982, J PARASITOL, V68, P952, DOI 10.2307/3281014
[9]   ANTITOXOPLASMA EFFECTS OF DAPSONE ALONE AND COMBINED WITH PYRIMETHAMINE [J].
DEROUIN, F ;
PIKETTY, C ;
CHASTANG, C ;
CHAU, F ;
ROUVEIX, B ;
POCIDALO, JJ .
ANTIMICROBIAL AGENTS AND CHEMOTHERAPY, 1991, 35 (02) :252-255
[10]  
DURANT J, 1992, 32ND INT C ANT AG CH