M. Akova et al., In vitro activities of antibiotics alone and in combination against Brucella melitensis at neutral and acidic pHs, ANTIM AG CH, 43(5), 1999, pp. 1298-1300
Brucellae survive acidic pHs in phagolysosomes. Azithromycin, streptomycin,
and quinolones were active against Brucella melitensis at pH 7.0 but not a
t pH 5.0; rifampin and doxycycline retained activity at pH 5.0. Regardless
of pH, azithromycin-rifampin and ofloxacin-rifampin showed less synergy tha
n established streptomycin-doxcycline and rifampin-doxycycline combinations
.