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Published byGuillermo Valverde Modified over 5 years ago
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Current Concepts in Antifungal Pharmacology
Russell E. Lewis, PharmD Mayo Clinic Proceedings Volume 86, Issue 8, Pages (August 2011) DOI: /mcp Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions
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FIGURE 1 Timeline of systemic antifungal drugs.
Mayo Clinic Proceedings , DOI: ( /mcp ) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions
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FIGURE 2 Sites of action and mechanisms of systemic antifungal agents. FKS1, FKS2 catalytic subunits of the glucan synthase complex are the putative target binding site of echinocandins. Rho is a cell wall-regulating protein. *Isavuconazole is still in phase 3 trials. Mayo Clinic Proceedings , DOI: ( /mcp ) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions
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FIGURE 3 Spectrum of action of systemic antifungal agents. Solid blocks represent species in which the antifungal agent has demonstrated microbiological and clinical efficacy. Blocks with dotted lines indicate fungal genera/species in which resistance is common. AMB = amphotericin; ANID = anidulafungin; CAS = caspofungin; 5-FC = flucytosine; FLU = fluconazole; ITRA = itraconazole; MICA = micafungin; POSA = posaconazole; VORI = voriconazole. Mayo Clinic Proceedings , DOI: ( /mcp ) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions
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FIGURE 4 Common toxicities of antifungal agents. CNS = central nervous system; 5-FC = flucytosine; GI = gastrointestinal; IV = intravenous; QTc = corrected QT interval. Mayo Clinic Proceedings , DOI: ( /mcp ) Copyright © 2011 Mayo Foundation for Medical Education and Research Terms and Conditions
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