Paradoxical Growth Effect of Echinocandins in Fungal Biofilms: A Literature Review on Mechanisms, Species Specificity, and Clinical Relevance Ayu Nazilla Fatimahtus Zahra¹, Pepy Dwi Endraswari²*, Dwi Murtiastutik³ Abstract The paradoxical growth (PG) effect, also termed the Eagle-like effect, describes the resumption of fungal growth at echinocandin concentrations above the minimum