Coccidioidomycosis: evaluation of parameters used to predict outcome with amphotericin B therapy

Mycopathologia. 1982 May 22;78(2):65-71. doi: 10.1007/BF00442628.

Abstract

A literature review of case histories describing the use of amphotericin B for the treatment of disseminated coccidioidomycosis was performed to detect parameters that were predictive of therapeutic outcome. Several factors were significantly different between patients who were well during prolonged follow-up versus those with active or recurrent disease: 1) mean complement fixation (CF) titer before treatment was lower in patients who were well; 2) well patients had a greater magnitude fall in CF titer during the amphotericin B therapy; 3) mean CF titer after amphotericin B treatment was lower in patients who were well; and 4) patients with a positive coccidioidin skin test before therapy were more likely to be well at 6 months. There was no correlation between total amphotericin B dose or duration of therapy and therapeutic outcome.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Amphotericin B / therapeutic use*
  • Antibodies, Fungal / analysis
  • Child
  • Coccidioides / immunology
  • Coccidioidomycosis / drug therapy*
  • Complement Fixation Tests
  • Humans
  • Middle Aged
  • Prognosis
  • Time Factors

Substances

  • Antibodies, Fungal
  • Amphotericin B