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Consequently, prolonged use of pivalic acid-containing antibiotics, including pivampicillin, pivmecillinam, pivcephalexin, and cefditoren pivoxil (Spectracef), can lead to secondary L-carnitine deficiency (135)

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Figure 5 The fungal cell wall is essential for maintaining cellular integrity and morphology, and its absence in mammalian cells makes it an ideal antifungal target