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SYSTEMIC AND OPPORTUNISTIC MYCOSES, 160px-Coccidiodes_lesion_1,…
SYSTEMIC AND OPPORTUNISTIC MYCOSES
SYSTEMIC MYCOSES
:check:
Coccidioidomycosis (California fever)
Diagnosis
:!:: serology test, coccidioidin test
Therapy
: azoles, surgery
Histoplasmosis (Darling's disease)
Diagnosis
:!: Sabouraud's agar, HE, Wright stain, histoplasmin skin test
Therapy
: itraconazole, amphotericin B
Blastomycosis (Gilchrist's disease)
Diagnosis
:!:: direct examination (broad-based budding yeast cells), culture, serology
Therapy
: ketoconazole, itraconazole, amphotericin B
Paracoccidioidomycosis
Therapy
: amphotericin B, itraconazole, cotrimoxazole
Diagnosis
:!:: HE, Wright stain, serologic test, paracoccidioidin skin test
OPPORTUNISTIC MYCOSES
:check:
Cryptococcosis
Diagnosis
:!:: culture (medium+cycloheximide), serologic test
Therapy
: amphotericin B, flucytosine, fluconazole
Aspergillosis
Diagnosis
:!:: direct examination + KOH, culture
Therapy
: corticosteroid, antifungal, surgery
Candidiasis
Diagnosis
:!:: germ tube test, serologic test
Therapy
: nystatin, gentian violet 1%, flucytosine
Mucormycosis
Diagnosis
:!:: direct examination + KOH, culture
Therapy
: antifungal drugs, surgery
