The consequences of these fungal infections are occasionally serious. However, the efficacy of antifungal prophylaxis in patients receiving

corticosteroid treatment has not been well investigated, even though they are susceptible to severe fungal infections. Therefore, we retrospectively evaluated the prophylactic efficacy of an antifungal agent-oral itraconazole solution (ITCZ-OS)-for immunosuppressed patients receiving corticosteroids in a single institution. Of 39 patients, 18 received prophylaxis with ITCZ-OS at a dose of 200 mg/day, and 21 did not. As a result, no fungal infections developed in the prophylactic Selleckchem Y 27632 group, but 7 of the 21 patients (33%) in the non-prophylactic group suffered from fungal infections consisting of 3 non-invasive candidiases, 2 invasive candidiases, and 2 invasive pulmonary aspergilloses. Among the non-prophylactic group, aging and hypoalbuminemia were statistically significantly associated with incidence of invasive fungal infections. Of the four patients with invasive fungal infections, PCI-34051 molecular weight three had concomitant chronic illness such as diabetes. Toxicity among the prophylactic group was not statistically significantly different from that of the non-prophylactic group. In addition, none needed discontinuation of the drug. These results indicate the potential antifungal prophylactic effect of ITCZ-OS for a subset of patients treated with moderate or high doses of corticosteroids.”
“N-Benzyloxycarbonyl-2,2,2-trifluoroacetimidoyl

chloride reacted with pyridin-2-amine derivatives to form substituted 2-trifluoromethyl-4H-pyrido[1,2-a][1,3,5]triazin-4-ones. DOI: 10.1134/S107042801301020X”
“Background: Thrombolysis is the most successful therapy in acute ischemic stroke. Limitations comprise strict eligibility criteria including many contraindications for thrombolysis, and in particular clinical situations lack of evidence-based data resulting in recommendations based on single experiences. Therefore, the risk-benefit effect of thrombolysis

in the presence of brain tumor is unknown. Methods: We conducted a systematic literature research of electronic databases (MEDLINE, Goggle Scholar) covering the period from 1990 to 2012 including search terms “”thrombolysis,”" “”stroke,”" “”brain tumor,”" and “”intracranial neoplasm.”" In addition, we report 1 new case of a 71-year-old patient with a large right frontal Metabolism inhibitor cancer meningioma who fully recovered with thrombolysis from a severe ischemic stroke. Results: Our literature research retrieved 12 patients with different brain tumors who were treated with thrombolysis for different reasons. Intracerebral hemorrhage occurred in 1 patient (8.3%) with a glioblastoma, and in the other 11 patients (91.7%), no hemorrhage was documented. In the subgroup of 8 stroke patients, both patients with a glioblastoma had no stroke but rather a focal seizure. Two of 3 patients with meningiomas showed a very good benefit from thrombolysis.