candida

Question 1

if stable candidemia, what can give?

Answer 1

fluconazole

Question 2

if unstbale, neuropenic or recent azole exposure , what meds ?

Answer 2

echinicandin

Question 3

if prengnacy + candida, what meds to give ?

Answer 3

amphotericin B

Question 4

if cns infection , what meds to give ?

Answer 4

amphotericin B +/- flucytosine

Question 5

why consult opthalmology with candidemia ?

Answer 5

r/o endophthalmitis

Question 6

if persistentn candidemia, what should do ?

Answer 6

abdo US
tte

to rule out IE

Question 7

what do you treat aspergilloma andd chronic cavitary pulmo aspergillosis with ?

Answer 7

antifungal x 6 months

Question 8

how long tx candidemia

Answer 8

2 weeks from first neg blood culture

Question 9

how to test indirectly invasive aspergilosis ? what to tx

Answer 9

galatomanan ( serum, sputum)
direct test ( fungal culture or pathology)

voriconazole x 6 weeks or longer

Question 10

what do you treat blastomnycosis with ?

Answer 10

itraconazole or ampho(severe)

Question 11

what to treat histoplasmosis with ?

Answer 11

itraconazole or ampho b ( severe)

Question 12

what to do if have cocidiomyocosis

Answer 12

• fungal culture, lp if sx
• itraconazole