Oxythiamine improves antifungal activity of ketoconazole evaluated in canine Malassezia pachydermatis strains
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Updated: Feb 4, 2026

Infecting Mice with Malassezia spp. to Study the Fungus-Host Interaction
Published on: November 6, 2019
Magdalena Siemieniuk1,2, Katarzyna Sosnowska3, Jan Czerniecki4
1Department of Cytobiochemistry, Institute of Biology, University of Bialystok, Ciolkowskiego 1J, 15?245, Bialystok, Poland.
Background:
Malassezia pachydermatis is an opportunistic yeast involved in skin and ear canal infections of dogs and cats. Reports suggest that strains of M. pachydermatis resistant to commonly used antifungal agents may be emerging. Therefore, new therapeutic strategies should be explored.
Objectives:
The synergistic effect of oxythiamine (OT) and ketoconazole (KTC) was analysed using a reference strain and field isolates (n = 66) of M. pachydermatis. Hydrogel formulations containing these components also were evaluated.
Methods And Materials:
The minimum inhibitory concentrations (MICs) and minimum fungicidal concentrations (MFCs) of OT, KTC and their mixtures were determined by a broth macrodilution method. The antifungal effects of hydrogel formulations were determined by a plate diffusion method.
Results:
The MIC and MFC values of OT were in the range 0.08 × 103 to 10 × 103 mg/L. All M. pachydermatis strains showed higher susceptibility to KTC (MICs and MFCs in the range 0.04-0.32 mg/L). Formulations that combined OT and KTC showed a synergistic effect for all tested isolates (n = 66). Hydrogels that contained OT at a concentration of 10 × 103 or 20 × 103 mg/L and KTC at the concentration of 0.1 × 103 mg/L showed a stronger effect than a commercially available product with KTC alone (20 × 103 mg/L).
Conclusions And Clinical Importance:
Synergy of these drugs may allow for successful topical treatment which utilizes lower doses of KTC without changing its therapeutic effectiveness. Hydrogel formulations proved to be attractive drug carriers for potential topical use.
Insights
Oxythiamine (OT) and ketoconazole (KTC) show synergistic effects against Malassezia pachydermatis, offering a promising topical treatment strategy. Hydrogel formulations enhance the efficacy of these antifungal agents for veterinary use.
Area of Science:
- Veterinary Mycology
- Antimicrobial Drug Development
- Dermatology
Background:
- Malassezia pachydermatis is a common cause of skin and ear infections in companion animals.
- Emerging resistance to conventional antifungal drugs necessitates novel therapeutic approaches.
- Opportunistic yeast infections in pets require effective and safe treatment options.
Purpose of the Study:
- To evaluate the synergistic antifungal activity of oxythiamine (OT) and ketoconazole (KTC) against Malassezia pachydermatis.
- To assess the efficacy of hydrogel formulations containing OT and KTC for topical application.
- To investigate potential new treatments for resistant M. pachydermatis strains.
Main Methods:
- Minimum Inhibitory Concentrations (MICs) and Minimum Fungicidal Concentrations (MFCs) were determined using broth macrodilution.
- Synergistic effects of OT and KTC mixtures were analyzed.
- Antifungal activity of hydrogel formulations was assessed via plate diffusion assays.
Main Results:
- Oxythiamine (OT) exhibited MICs and MFCs in the range of 0.08–10 × 10³ mg/L.
- Ketoconazole (KTC) demonstrated potent activity with MICs and MFCs between 0.04–0.32 mg/L against all M. pachydermatis strains.
- Combinations of OT and KTC showed significant synergistic effects against all 66 tested isolates.
- Hydrogels with OT (10–20 × 10³ mg/L) and KTC (0.1 × 10³ mg/L) outperformed a commercial KTC-only product.
Conclusions:
- The synergistic combination of OT and KTC offers a viable strategy for topical treatment of M. pachydermatis infections.
- This combination allows for reduced KTC dosage while maintaining therapeutic effectiveness.
- Hydrogel formulations are effective drug delivery systems for topical antifungal therapy in veterinary medicine.
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