Keller Bugs and Drugs - Fungi

Question 1

Aspergillus spp. - Allergic aspergillosis

Answer 1

corticosteroids

Question 2

Aspergillus spp. - Aspergilloma (fungal ball)

Answer 2

surgical excision

Question 3

Aspergillus spp. - Systemic aspergillosis

Answer 3

voriconazole *

Question 4

Blastomyces dermatiditis - Pulmonary

Answer 4

amphotericin B deoxycholate or lipid form

Question 5

Blastomyces dermatiditis - Meninigitis

Answer 5

Ampho B (4-6 wks) then azole (1 yr)

Question 6

Candida albicans - endocarditis

Answer 6

amphotericin B +/1 flucytosine

Question 7

Candida albicans - endophthalmitis

Answer 7

Amphotericin B

Question 8

Candida albicans - esophageal candidiasis

Answer 8

fluconazole

Question 9

Candida albicans - Oral candidiasis (thrush) non AIDS

Answer 9

nystatin

Question 10

Candida albicans - Oral candidiasis (thrush) AIDS pt

Answer 10

fluconazole

Question 11

Candida albicans - Peritonitis/intraabdominal infection

Answer 11

Fluconazole

Question 12

Candida albicans - Pneumonia

Answer 12

Fluconazole or amphotericin B

Question 13

Candida albicans - septic arthritis/osteomyelitis

Answer 13

Fluconazole or amphotericin B

Question 14

Candida albicans - UTI

Answer 14

Fluconazole or amphotericin B

Question 15

Candida albicans - Vulvovaginal candidiasis (VVC)

Answer 15

Topical azoles

Question 16

Coccidioides immitis - Pulmonary

Answer 16

Fluconazole

Question 17

Coccidioides immitis - Meninigitis

Answer 17

Ampho B (4-6 wks) then azole (1 yr)

Question 18

Coccidioides immitis - Meninigitis in IC pt

Answer 18

Ampho B (4-6 wks) then azole (for life)

Question 19

Cryptococcus neoformans - Meninigitis

Answer 19

Amphotericin B

Question 20

Three genus that cause Tinea capitis, pedis, corporis, cruris

Answer 20

Epidermphyton, Microsporum, Trichophyton

Question 21

Tinea capitis

Answer 21

Griseofulvin

Question 22

Tinea pedis

Answer 22

Topical antifungal

Question 23

Tinea corporis

Answer 23

Topical antifungal

Question 24

tinea cruris

Answer 24

Topical antifungal

Question 25

Fusarium spp. - keratitis

Answer 25

Topical Natamycin

Question 26

Histoplasma capsultaum - Pulmonary

Answer 26

amphotericin B then itraconazole (12 wks)

Question 27

Mucormycoses - Rhinocerebral zygomycosis

Answer 27

amphotericin B

Question 28

Paracoccidioides brasiliensis - Pulmonary

Answer 28

itraconazole

Question 29

Pneumocystis jiroveci - PCP pneumonia

Answer 29

TMP-SMX

Question 30

Sporothrix schenckii - Rose gardener disease

Answer 30

itraconazole

Question 31

Sporothrix schenckii - Invasive disease

Answer 31

amphotericin B