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Article
December 1981

Endogenous Candida albicans Endophthalmitis in the RabbitChemotherapy for Systemic Effect

Author Affiliations

From the Departments of Ophthalmology (Drs Jones, Green, Osato, and Broberg) and Medicine (Dr Gentry), Baylor College of Medicine, Houston.

Arch Ophthalmol. 1981;99(12):2182-2187. doi:10.1001/archopht.1981.03930021058014
Abstract

• Progressive endogenous Candida albicans endophthalmitis was established in rabbits by intravenous (IV) injection of blastospores (2.0 to 5.0 × 105/kg). Severity of infection was directly related to the strain and inoculum size. Intravenous amphotericin B (1.0 mg/kg/day), IV amphotericin B methyl ester ascorbate (5.0 mg/kg/day), and oral ketoconazole (80 mg/kg/day) effectively prevented or reduced the severity of infection when therapy was initiated 24 hours following inoculation of blastospores and continued for five to seven days. Intravenous miconazole (30 mg/kg/day) was ineffective in this model. Intravenous amphotericin B (1.0 to 2.0 mg/kg on alternate days), IV amphotericin B methyl ester ascorbate (5.0 mg/kg/day), and oral ketoconazole (80 mg/kg/day) reduced the severity of C albicans endophthalmitis when therapy was initiated seven days following injection of blastospores and continued for 28 days. Oral flucytosine (75 and 150 mg/ kg/day in four doses) produced uniformly fatal hepatic necrosis in uninfected rabbits.

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