Disease: azole-resistant aspergillosis

Refractory fungal infection: Three case reports highlighting good practice

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This case series examines three patients with serious fungal infections that did not respond well to standard antifungal treatments. The cases demonstrate how fungi can develop resistance to common antifungal drugs like azoles, making infections harder to treat. The authors emphasize that accurate identification of the fungus, testing its sensitivity to drugs, monitoring drug levels in the blood, and careful use of antifungal medications are essential for successfully treating these difficult infections.

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Azole fungicides and Aspergillus resistance, five EU agency report highlights the problem for the first time using a One Health approach

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A major European health agency report warns that widely-used fungicides sprayed on crops to prevent plant diseases may be creating resistant fungi that can infect humans and make medical treatments ineffective. The study found that about 10,000 tonnes of these azole fungicides are used in Europe annually, and their residues accumulate in the environment where they can cause harmful fungi to become resistant to the same medicines doctors use to treat patients. The report calls for urgent action to better monitor this problem and prevent resistance through smarter use and regulation of agricultural fungicides.

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In Vitro Activity of Nitroxoline (5-Nitro-8-Hydroxyquinoline) Against Aspergillus Species

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Researchers tested an old antibiotic called nitroxoline against dangerous fungal infections caused by Aspergillus species. The drug works by removing essential zinc that the fungus needs to survive. The study found that nitroxoline was highly effective against all tested fungal strains, including those resistant to modern antifungal drugs, suggesting it could be a promising alternative treatment for serious fungal infections.

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