Dj. White et al., Combined topical flucytosine and amphotericin B for refractory vaginal Candida glabrata infections, SEX TRANS I, 77(3), 2001, pp. 212-213
Patients with vaginitis due to highly azole resistant Candida glabrata can
be particularly difficult to treat. We describe three cases of longstanding
vaginal candidiasis due to C glabrata. These had failed to respond to loca
l and systemic antifungals. Flucytosine (1 g) and amphotericin B (100 mg) f
ormulated in lubricating jelly base in a total 8 g delivered dose, was used
per vagina once daily for 14 days with significant improvement, both clini
cally and microbiologically.