Skip to main content
Antimicrobial Agents and Chemotherapy logoLink to Antimicrobial Agents and Chemotherapy
. 1979 Aug;16(2):217–220. doi: 10.1128/aac.16.2.217

In Vitro Susceptibilities of Naegleria fowleri Strain HB-1 to Selected Antimicrobial Agents, Singly and in Combination

Kenneth K Lee 1, Stephen L Karr Jr 2, Ming M Wong 3, Paul D Hoeprich 1
PMCID: PMC352825  PMID: 485131

Abstract

The overall prognosis of primary amoebic meningoencephalitis remains poor. The results of this study support previous finding that amphotericin B is the most efficacious drug against the Naegleria species in in vitro testing. In addition, the methyl ester of amphotericin B, a new derivative, also appears to be an effective agent. Of the drug combinations studied, amphotericin B plus minocycline and amphotericin B plus tetracycline showed synergy. The clinical significance of these findings remains to be determined.

Full text

PDF
217

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Apley J., Clarke S. K., Roome A. P., Sandry S. A., Saygi G., Silk B., Warhurst D. C. Primary amoebic meningoencephalitis in Britain. Br Med J. 1970 Mar 7;1(5696):596–599. doi: 10.1136/bmj.1.5696.596. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Beggs W. H., Sarosi G. A., Andrews F. A. Synergistic action of amphotericin B and rifampin on Candida albicans. Am Rev Respir Dis. 1974 Nov;110(5):671–673. doi: 10.1164/arrd.1974.110.5.671. [DOI] [PubMed] [Google Scholar]
  3. Carter R. F. Primary amoebic meningo-encephalitis. An appraisal of present knowledge. Trans R Soc Trop Med Hyg. 1972;66(2):193–213. doi: 10.1016/0035-9203(72)90147-2. [DOI] [PubMed] [Google Scholar]
  4. Carter R. F. Sensitivity to amphotericin B of a Naegleria sp. isolated from a case of primary amoebic meningoencephalitis. J Clin Pathol. 1969 Jul;22(4):470–474. doi: 10.1136/jcp.22.4.470. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Chang S. L. Small, free-living amebas: cultivation, quantitation, identification, classification, pathogenesis, and resistance. Curr Top Comp Pathobiol. 1971;1:201–254. doi: 10.1016/b978-0-12-153401-1.50010-7. [DOI] [PubMed] [Google Scholar]
  6. Duma R. J., Finley R. In vitro susceptibility of pathogenic Naegleria and Acanthamoeba speicies to a variety of therapeutic agents. Antimicrob Agents Chemother. 1976 Aug;10(2):370–376. doi: 10.1128/aac.10.2.370. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. GHOSH A., GHOSH J. J. RELEASE OF INTRACELLULAR CONSTITUENTS OF CANDIDA ALBICANS IN PRESENCE OF POLYENE ANTIBIOTICS. Ann Biochem Exp Med. 1963 Dec;23:611–626. [PubMed] [Google Scholar]
  8. Huppert M., Sun S. H., Vukovich K. R. Combined amphotericin B-tetracycline therapy for experimental coccidioidomycosis. Antimicrob Agents Chemother. 1974 May;5(5):473–478. doi: 10.1128/aac.5.5.473. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Jamieson A., Anderson K. Letter: Primary amoebic meningoencephalitis. Lancet. 1974 Feb 16;1(7851):261–261. doi: 10.1016/s0140-6736(74)92562-8. [DOI] [PubMed] [Google Scholar]
  10. Kwan C. N., Medoff G., Kobayashi G. S., Schlessinger D., Raskas H. J. Potentiation of the antifungal effects of antibiotics by amphotericin B. Antimicrob Agents Chemother. 1972 Aug;2(2):61–65. doi: 10.1128/aac.2.2.61. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Lew M. A., Beckett K. M., Levin M. J. Antifungal activity of four tetracycline analogues against Candida albicans in vitro: potentiation by amphotericin B. J Infect Dis. 1977 Aug;136(2):263–270. doi: 10.1093/infdis/136.2.263. [DOI] [PubMed] [Google Scholar]
  12. Medoff G., Kobayashi G. S., Kwan C. N., Schlessinger D., Venkov P. Potentiation of rifampicin and 5-fluorocytosine as antifungal antibiotics by amphotericin B (yeast-membrane permeability-ribosomal RNA-eukaryotic cell-synergism). Proc Natl Acad Sci U S A. 1972 Jan;69(1):196–199. doi: 10.1073/pnas.69.1.196. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Montgomerie J. Z., Edwards J. E., Jr, Guze L. B. Synergism of amphotericin B and 5-fluorocytosine for candida species. J Infect Dis. 1975 Jul;132(1):82–86. doi: 10.1093/infdis/132.1.82. [DOI] [PubMed] [Google Scholar]
  14. Schuster F. L., Rechthand E. In vitro effects of amphotericin B on growth and ultrastructure of the amoeboflagellates Naegleria gruberi and Naegleria fowleri. Antimicrob Agents Chemother. 1975 Nov;8(5):591–605. doi: 10.1128/aac.8.5.591. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Thong Y. H., Rowan-Kelly B., Shepherd C., Ferrante A. Growth inhibition of Naegleria fowleri by tetracycline, rifamycin, and miconazole. Lancet. 1977 Oct 22;2(8043):876–876. doi: 10.1016/s0140-6736(77)90813-3. [DOI] [PubMed] [Google Scholar]
  16. Thong Y. H., Rowan-Kelly B., Shepherd C., Ferrante A. Synergism between tetracycline and amphotericin B in experimental amoebic meningoencephalitis. Med J Aust. 1978 Jun 17;1(12):663–664. doi: 10.5694/j.1326-5377.1978.tb112633.x. [DOI] [PubMed] [Google Scholar]
  17. Visvesvara G. S., Callaway C. S. Light and electron microsopic observations on the pathogenesis of Naegleria fowleri in mouse brain and tissue culture. J Protozool. 1974 May;21(2):239–250. doi: 10.1111/j.1550-7408.1974.tb03648.x. [DOI] [PubMed] [Google Scholar]
  18. Wong M. M., Karr S. L., Jr, Balamuth W. B. Experimental infections with pathogenic free-living amebae in laboratory primate hosts: I (A) A study on susceptibility to Naegleria fowleri. J Parasitol. 1975 Apr;61(2):199–208. [PubMed] [Google Scholar]
  19. Wong M. M., Karr S. L., Jr, Chow C. K. Changes in the virulence of Naegleria fowleri maintained in vitro. J Parasitol. 1977 Oct;63(5):872–878. [PubMed] [Google Scholar]

Articles from Antimicrobial Agents and Chemotherapy are provided here courtesy of American Society for Microbiology (ASM)

RESOURCES