Fluconazole for oropharyngeal candidiasis in anti-HIV positive haemophiliacs.

Abstract:

:Candidiasis of the oropharynx and oesophagus is one of the most common problems encountered in patients with HIV disease. Fluconazole is a bis-triazole antifungal agent with a long serum half-life. Sixteen anti-HIV positive patients (15 haemophiliacs and one blood transfusion recipient) with a clinical diagnosis of oropharyngeal candidiasis were treated with 50 mg fluconazole daily for 14-28 days and then either 150 mg fluconazole or placebo weekly for 6 months in a prophylactic phase. Clinical cure occurred in all patients, and mycological cure occurred in 13/16 (81%) patients. In the prophylactic phase, there were 2/5 (40%) relapses in the placebo arm compared with 1/8 (12.5%) in the fluconazole arm, but this was not statistically significant by Fisher's one-sided exact test (P = 0.31). It is concluded that fluconazole is an effective treatment of oropharyngeal candidiasis and has potential for prophylactic use.

journal_name

Aliment Pharmacol Ther

authors

Lim SG,Lee CA,Hales M,O'Doherty M,Winter M,Kernoff PB

doi

10.1111/j.1365-2036.1991.tb00021.x

subject

Has Abstract

pub_date

1991-04-01 00:00:00

pages

199-205

issue

2

eissn

0269-2813

issn

1365-2036

journal_volume

5

pub_type

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