Publications

Journal Article Research Support, N.I.H., Extramural Research Support, Non-U.S. Gov't Comment Ppublish

PubMed: 39037274 DOI: 10.1128/aac.00847-24

Case Commentary: Extending our therapeutic range against multidrug-resistant Candida.

Antimicrob Agents Chemother 68(8):e0084724

Authors: Max W Adelman, David R Andes

Affiliations

  • Division of Infectious Diseases, Department of Medicine, Houston Methodist Hospital, Houston, Texas, USA.
  • Center for Infectious Diseases, Houston Methodist Research Institute, Houston, Texas, USA.
  • Division of Pulmonary, Critical Care, and Sleep, Department of Medicine, Houston Methodist Hospital, Houston, Texas, USA.
  • Weill Cornell Medicine, New York, New York, USA.
  • Division of Infectious Diseases, Department of Medicine, University of Wisconsin-Madison, Madison, Wisconsin, USA.

Abstract

Deep-seated Candida spp. infections may necessitate extended durations of antifungal therapy. Increasing resistance to first-line antifungals threatens the most common options for long-term treatment. In this issue, Ponta et al. (Antimicrob Agents Chemother 68:e00750-24, 2024, https://doi.org/10.1128/aac.00750-24) present cases in which they used rezafungin, a novel long-acting echinocandin antifungal, for extended durations. While excellent clinical evidence supports the short-term safety of rezafungin, these cases demonstrate that rezafungin may additionally have a role in long-term suppressive therapy for antifungal-resistant Candida spp. infections.

MeSH

Osteomyelitis, Drug Therapy, Endocarditis, Therapeutics, Anti-Bacterial Agents, Antifungal Agents, Antiviral Agents, Infections