Antigen clearance for evaluation of treatment of histoplasmosis. NLM AIDSLINE Important note: Information in this article was accurate in 1994. The state of the art may have changed since the publication date.

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Antigen clearance for evaluation of treatment of histoplasmosis.

Abstr Gen Meet Am Soc Microbiol. 1994;94:605 (abstract no. F-95). Unique Identifier : AIDSLINE ASM94/94313117
Blair R; Garringer T; Limjoco M; Korzun A; Hafner R; Wheat J; Indiana University, Indianapolis.


Abstract: Evaluation of new antifungal agents may be assisted by measurement of Histoplasma antigen clearance. We compared antigen clearance in patients treated successfully with itraconazole to that in historical controls treated with amphotericin B. Patients receiving itra were participants in an AIDS Clinical Trials Group protocol. The historical control group included AIDS patients treated with ampho B from 1988 to 1992. Antigen clearance was measured by radioimmunoassay, testing samples at baseline and at the end of induction treatment in a single assay to allow direct comparison. Antigenuria cleared more rapidly in patients treated with ampho B than with itra. TABULAR DATA, SEE ABSTRACT VOLUME. Antigenemia clearance was similar in both groups. This rate of clearance of antigen correlates with clinical evidence of more rapid response to treatment with ampho B than itra, namely defervescence. Clearance of antigen may complement clinical and cultural markers for evaluation of antifungal therapy for histoplasmosis.
Keywords: Acquired Immunodeficiency Syndrome/THERAPY Amphotericin B/*THERAPEUTIC USE Antigens, Fungal/*BLOOD/URINE AIDS-Related Opportunistic Infections/*PREVENTION & CONTROL Comparative Study Histoplasma/*IMMUNOLOGY Histoplasmosis/*PREVENTION & CONTROL Human Itraconazole/*THERAPEUTIC USE Metabolic Clearance Rate CLINICAL TRIAL ABSTRACTKWDacquiredimmunodeficiencysyndrome/therapyamphotericinb/KWDtherapeuticuseantigens,fungal/KWDblood/urineaids-relatedopportunisticinfections/KWDprevention&controlcomparativestudyhistoplasma/KWDimmunologyhistoplasmosis/KWDprevention&controlhumanitraconazole/KWDtherapeuticusemetabolicclearancerateclinicaltrialabstract
941030
M94A0837

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