White D J, Habib A R, Vanthuyne A, Langford S, Symonds M
Department of Sexual Medicine, Birmingham Heartlands Hospital, Birmingham B9 5SS, UK.
Sex Transm Infect. 2001 Jun;77(3):212-3. doi: 10.1136/sti.77.3.212.
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 local and systemic antifungals. Flucytosine (1 g) and amphotericin B (100 mg) formulated in lubricating jelly base in a total 8 g delivered dose, was used per vagina once daily for 14 days with significant improvement, both clinically and microbiologically.