@article{oai:nagasaki-u.repo.nii.ac.jp:00002027,
 author = {Ashizawa, Nobuyuki and Miyazaki, Taiga and Abe, Shinichi and Takazono, Takahiro and Saijo, Tomomi and Obata, Yoko and Shimamura, Shintaro and Yamamoto, Kazuko and Imamura, Yoshifumi and Koji, Takehiko and Nishino, Tomoya and Izumikawa, Koichi and Yanagihara, Katsunori and Kohno, Shigeru and Mukae, Hiroshi},
 issue = {1},
 journal = {Scientific Reports},
 month = {Jun},
 note = {Candida peritonitis is a crucial disease, however the optimal antifungal therapy regimen has not been clearly defined. Peritoneal fibrosis (PF)can be caused by abdominal surgery, intra-abdominal infection, and malignant diseases, and is also widely recognized as a crucial complication of long-term peritoneal dialysis. However, the influence of PF on Candida peritonitis prognosis remains unknown. Here, we evaluated the severity 
of Candida peritonitis within the context of PF and the efficacy of micafungin using mice. A PF mouse model was generated 
by intraperitoneally administering chlorhexidine gluconate. Candida peritonitis, induced by intraperitoneal inoculation of Candida albicans, was treated 
with a 7-day consecutive subcutaneous administration of micafungin. Candida infection caused a higher mortality rate in the PF mice compared with the control mice on day 7. Proliferative Candida invasion into the peritoneum and intra-abdominal organs was confirmed pathologically only in the PF mice. However, all mice in both groups treated with micafungin survived until day 20. Micafungin treatment tends to suppress inflammatory cytokines 
in the plasma 12 h after infection in both groups. Our results suggest that PF enhances early mortality in Candida peritonitis. Prompt initiation and sufficient doses of micafungin had good efficacy for Candida peritonitis, irrespective of the underlying PF., Scientific Reports, 9(1), art.no.9331; 2019},
 title = {Evaluation of Candida peritonitis with underlying peritoneal fibrosis and efficacy of micafungin in murine models of intra-abdominal candidiasis},
 volume = {9},
 year = {2019}
}