Antifungal Flashcards
Sporothrix schenckii
Itraconazole or POTassium iodide(plant a rose in a pot)
Coccidiodes immitis
Amphotericn b/ itraconazole; fluco for meninitis
Histoplasma capsulatum
Amphotericin/ itraconazole; fluco for meningitis
Blastomyces dermatitidis
Itraconazole
Paracoccidioidea brasilensis
Itraconazole
Candida
Oropharyngeal and esophageal- nystagin swish and swallow; skin- clotrimazole; disseminated candidiasis- amphotericin B; chemoprophylaxis- fluconazolr
Cryptococcus neoformans
Ampho/ flucytosine; chemoproph: fluconazole
Aspergillus fumigatus
Amphotericin B
P jiroveci
TMP- SMX
Malassezia furfur
Miconazole
Polyene antifungal that binds to ergosterol forming artificial pores
Amphotericin B
Nystatin
Amphotericin B: Fungicidal or Fungistatic?
Fungicidal
Accumulates in fungal cells by the action of permease and converted to cytosine deaminase to 5-FU.
Flucytosine
A pyrimidine antimetabolite antifungal
Flucytosine
Inhibit fungal P450-dependent enzymes blocking ergosterol sysntesis
Azoles (Keto, Fluco, Itraco)
Antifungal with good CNS permeability
Fluconazole
Inhibits B-glucan synthase decreasing fungal cell wall synthesis
Caspofungin
Antifungal that accumulates in keratin. Contraindicated in porphyria
Griseofulvin and Terbinafine
Interferes with microtubule function. Inhibits sysnthesis and polymerization of nucleic acids,
Griseofulvin
Interfere with ergosterol synthesis by inhibiting fungal squalene oxidase.
Terbinafine
DOC for pityriasis versicolor
Clotrimazole