fungi DOC Flashcards
Aspergillius
-allergic aspergillosis
corticosteroids
Aspergillius
-aspergilloma (fungal ball)
surgical excision
post surgery: voriconazole, itraconazole
aperpergillius
-systemic aspergillosis
DOC: voriconazole (CI if pregnant)
2nd line: amphotericin B; caspofungin
Blastomyces dermatidis
-pulmonary
DOC: amphotericin B
2nd line: itraconazole
blastomyces dermatidis
-meningitis
amphotericin B (4-6 weeks) then azole (1yr)
Candida
- endocarditis
- endophthalmitis
-amphotericin B
(for endocarditi also give flu cytosine)
2nd line endophthalmitis: fluconazole
Candida
- esophageal candidiasis
- oral candidiasis (thrush) AIDS pt
- peritonitis/ intraabdominal infection
DOC: fluconazole
2nd line:
- esophageal candidiasis: amphotericin B
- peritonitis: caspofungin
Candida:
-oral candidiasis (thrush) non AIDS pt
nystatin
second line: fluconazole
Candida:
- pneumonia
- septic arthritis/osteomyelitis
- UTI
fluconazole or amphotericin B
candida:
-vulvovaginal candidiasis
tropical azoles
secon line: oral fluconazole
Coccidioides immitis
-pulmonary
fluconazole
second line: amphotericin B
coccidioides immitis
-meningitis (regular pt and IC pt)
amphotericin B (4-6 weeks) then azole (-regular pt: 1yr...... IC pt: for life)
cryptococcus neoformans
-meningitis
amphotericin B
AIDS pt:
-amphotericin B + flucytosine …. then continue to give flucytosine for life
Tinea capitis
griseofulvin
second line: terbinafine
tinea pedis
tinea corporis
tinea cruris
topical antifungal
second line: oral griseofulvin
