@sunsunsun Wax moths? They don't even have neutrophils and I won't deep-dive into finding out how their hemolymphs specifically compare to human or mammalian neutrophils.
I really do harbor strong apprehensions against the potential (mis)use of doxy on fungal infections.
What I would much rather do is oral terbinafin + fluconazole.
The terbinafin by itself is useless against many fungi species but allegedly it strongly inhibits expression of the fungal efflux pumps responsible for azole resistance!
This still won't tackle activitiy in the biliary tract, though.
I've done some more reading of publications on biliary / gallbladder candida / fungi.
Fungi can be causes of calculous (lithiasic) or also acalculous cholecystitis with or without mixed bacterial infections (Escherichia coli, Enterococcus, Klebsiella, Enterobacter, Clostridia).
Even in such rare and often fatal cases that happened to be documented, candidemia was rare despite frequent (almost always) fungal infection of other organs.
https://pubmed.ncbi.nlm.nih.gov/8862389/
https://pubmed.ncbi.nlm.nih.gov/28703118/
https://pmc.ncbi.nlm.nih.gov/articles/PMC8764969/
https://pmc.ncbi.nlm.nih.gov/articles/PMC12338181/
https://pubmed.ncbi.nlm.nih.gov/24474028/
https://pubmed.ncbi.nlm.nih.gov/8207288/
I don't have visible gallbladder wall thickening or distention or an obviously, universally accepted liver disease (except for hepatomegaly) but if I had I sure as hell would want to insist on flucytosine, or flucytosine + i.v amphotericin B along with any broad-spectrum antibiotics and before mutilating surgeries they'd offer.
Have looked more into berberine again, too. It's impossible to achieve its antimicrobial concentrations (at least 0.1mg/mL) systemically. Serum concentrations are about 0.5 - 16 ng/mL. I.e. 0.000005 mg/mL. Ridiculous!
The berberine in practical doses of 500-1500mg will thus be acting mainly within the GI lumen in support of oral Ampho-B. Berberine has low absorption but some will spill over to reach the liver for extensive first-pass metabolism, yet probably not into biliary ducts.