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COMBINED THERAPY IN HISTOPLASMOSIS AND COCCIDIOIDOMYCOSISMethyltestosterone and Meth-Dia-Mer-Sulfonamides
JOHN H. LAMB, M.D.;
Gerbert Rebell;
Phyllis E. Jones, M.D.;
Robert J. Morgan, M.D.;
John M. Knox, M.D.
AMA Arch Derm Syphilol. 1954;70(6):695-712.
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THERE IS no reported instance of treatment of systemic fungous disease in man with testosterone compounds. In 1953 Lamb and his associates1 reported the cure of a mycetoma caused by an atypical Nocardia under treatment with large doses of pregnenolone acetate. Trial of this steroid in disseminated coccidioidomycosis has been unsuccessful.* The use of aromatic diamidines structurally related to synthetic estrogens is being thoroughly investigated by Curtis and his co-workers.2
The present paper presents in vitro and in vivo laboratory studies of testosterone compounds as fungistatic agents and a report of the clinical trial of methyltestosterone and meth-dia-mer-sulfonamides (triple sulfonamides) in three cases of the deep mycoses.
LABORATORY ASSAY OF ANTIMYCOTIC EFFECT OF TESTOSTERONE COMPOUNDS AND SULFONAMIDES
In Vitro Assay of Testosterone, Methyltestosterone, and Testosterone Propionate.—In 1949 Reiss3 demonstrated that testosterone, methyltestosterone, and other steroids and steroid-like compounds possess moderate fungistatic activity in vitro against Histoplasma capsulatum and other pathogenic fungi. Using a pour
. . . [Full Text PDF of this Article]
Author Affiliations
OKLAHOMA CITY
Footnotes
Read before the 74th Annual Meeting of the American Dermatological Association, Inc., White Sulphur Springs, W. Va., April 17, 1954.
Dr. Knox, formerly of Oklahoma City, is now in the Department of Dermatology, University Hospital, University of Michigan Medical School.
This investigation was made with the assistance of the National Cancer Institute, Dome Chemicals, Inc., New York; Eaton Laboratories, Inc., Norwich, N. Y.; Duke Laboratories, Inc., Stamford, Conn.; The Committee on Research of the Council on Pharmacy and Chemistry of the American Medical Association, and the Everett S. Lain Dermatological Fund of the Oklahoma Medical Research Foundation. Laboratory space was provided in the Dermatologic Section of the Oklahoma Medical Research Foundation Building.
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