Viral, Protozoal, Fungal Infections

Question 1

Herpes Virus: HSV, VZV

Answer 1

Aciclovir

Question 2

Herpes Virus: CMV

Answer 2

Ganciclovir

Question 3

Hepatitis B Virus

Answer 3

Peg-interferon alpha
Tenofovir
Entecavir

Question 4

Hepatitis C Virus

Answer 4

Peg-interferon alpha

Ribavarin

Question 5

Influenza

Answer 5

Bed rest + paracetamol

Oseltamivir (neuraminidase inhibitor): Influenza A & B in age >1yr and symptoms >48h

Zanamivir (inhaled NA inhibitor): Influenza A & B in age >5yrs and symptoms >48h

Severe:
Manage in ITU
Cipro + co-Amos to prevent staph & strep

Question 6

Malaria:
Prophylaxis
Rx

Answer 6

Prophylaxis:
No resistance: proguanil + chloroquine
Resistance: Melfoquine or Malarone

Rx:
Benign: Chloroquine then Promaquine
Falciparum: Riamet or Malarone

Question 7

Giardia

Answer 7

Tinidazole

Question 8

Pneumocystitis pneumonia (fungal)

Answer 8

Co-trimoxazole IV

Or Pentamidine IVI

Question 9

Cryptococcal meningitis (fungal)

Answer 9

Amphotericin B + Flucytosine 2 weeks

Then fluconazole 6m

Question 10

Candida:
Oral
Thrush
Systemic

Answer 10

Oral: Nystatin drops
Thrush: Clotrimazole
Systemic: Amphotericin B or Voriconazole

Question 11

Tinea infections:
Skin
Scalp
Nails

Answer 11

Skin: Terbinafine or topical Ketoconazole/Miconazole
Scalp: Griseofluvin or Terbinafine
Naile: terbinafine

Question 12

Aspergillus fungal infection

Answer 12

Amphotericin B

Itraconazole, Voriconazole