Experience with Amphotericin B for the Treatment of Systemic Mycoses

Abstract

Amphotericin B is an antibiotic produced by a species of Streptomyces. It appears to have no important antibacterial properties, but possesses highly significant activity against those yeast-like fungi which produce deep mycotic infection in man. Table 1 contains the in vitro sensitivities of the major producers of deep mycotic infection in man as determined by various investigators.^1-3Our own findings, on Sabouraud's dextrose agar at pH 7, are indicated in the Table. Studies in experimental animals^2,3have indicated a good correlation between in vivo effectiveness and in vitro sensitivity to amphotericin B. Animal toxicity studies carried out by the Squibb Institute for Medical Research indicated that amphotericin B had a therapeutic index sufficient to justify clinical trial in human mycotic infections. Several reports^4-6of its use in histoplasmosis and cryptococcosis have already appeared in the American literature. <h3>Routes of Administration and Toxicity</h3> The insolubility of crystalline or