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Review of Pharmacology - 9E (2015)

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<strong>Review</strong> <strong>of</strong> <strong>Pharmacology</strong><br />

Chemotherapy B: Antimicrobials for Specific Conditions<br />

Conditions<br />

Mycobacterial diseases<br />

Drug <strong>of</strong> choice<br />

Drug <strong>of</strong> choice<br />

• Tuberculosis See text<br />

• Leprosy See text<br />

--<br />

Type 1 Lepra reaction Corticosteroids<br />

--<br />

Type 2 Lepra reaction Corticosteroids<br />

• M. avium intracellulare Azithromycin + Ethambutol ± Rifabutin<br />

• M. kansasii Isoniazid + Rifampicin ± Ethambutol<br />

• M. fortuitum chelonei Cefoxitin + clarithromycin<br />

Fungal diseases<br />

• Candida albicans Fluconazole<br />

• Candida glabrata Casp<strong>of</strong>ungin<br />

• Candida krusei Casp<strong>of</strong>ungin<br />

• Candida endocarditis Amphotericin B (AMB)<br />

• Histoplasmosis<br />

--<br />

Meningeal AMB<br />

--<br />

Non-meningeal Itraconazole<br />

• Coccidioidomycosis AMB<br />

• Para-coccidioidomycosis Itraconazole 1<br />

• Sporotrichosis Itraconazole<br />

• Blastomycosis<br />

--<br />

Mild and Non-CNS Itraconazole<br />

--<br />

Severe or CNS AMB<br />

• Penicillium marneffei Itraconazole 1<br />

• Chromoblastomycosis Itraconazole<br />

• Mycetoma<br />

--<br />

Eumycetoma Itraconazole<br />

--<br />

Actinomycetoma Itraconazole<br />

• Cryptococcal meningitis<br />

--<br />

Induction AMB (for 2 weeks)<br />

--<br />

Maintenance Fluconazole (for further 8 weeks)<br />

• Aspergillosis<br />

--<br />

Invasive Voriconazole<br />

--<br />

Allergic broncho-pulmonary (AMBA) Prednisolone + Itraconazole/Voriconazole<br />

• Mucormycosis AMB 2<br />

• Pseudoallescheria boydii Voriconazole<br />

• Fusarium Voriconazole<br />

• Exserohilum AMB<br />

• Febrile neutropenia<br />

--<br />

Treatment Voriconazole<br />

--<br />

Prophylaxis Fluconazole<br />

Contd...<br />

598<br />

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