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Fungal Infections
Fungal Species | Geographic Area | severity | Drug of Choice | Alternate |
---|---|---|---|---|
Aspergillus | everywhere | Invasive | Voriconzaole | Lipo Ampho B, Caspofungin, Micafungin, Posaconazole |
Aspergillus (empiric) | Lip Ampho B | Caspofungin, Itraconazole, Voriconazole | ||
Aspergillus (PPX) | Posaconazole | |||
Blastomycosis | southeastern/south central states bordering Mississippi/Ohio rivers, Great Lakes, A\St. Lawrence Seaway | Life Threatening/Severe (Pulmonary, Disseminated, Immunocompromised) | Lip Ampho B | Itraconazole |
Blastomycosis | southeastern/south central states bordering Mississippi/Ohio rivers, Great Lakes, A\St. Lawrence Seaway | mild/moderate (pulmonary, disseminated) | Itraconazole | |
Histoplasmosis | Ohio/Mississippi River valleys | Severe/CNS | Ampho B | Itra |
Histoplasmosis | Ohio/Mississippi River valleys | Mild | Itraconazole | |
Coccidioidomycosis | SW deserts (CA,AZ, NM, NV, TX) | all severities | Fluconazole | Lip Ampho B, (CNS - intrathecal ampho B) |
Cryptococcosis | C. neoformans - world wide C. gatti - tropics/subtropics, Australia, Pacific Northwest | CNS/disseminated/severe | Lip Ampho B + flucytosine | Fluconazole |
Cryptococcosis | C. neoformans - world wide C. gatti - tropics/subtropics, Australia, Pacific Northwest | mild/moderate (not brain) | fluconazole | |
Mucormycosis | everywhere | (requires aggressive surgical debridement) | Ampho B | Posaconazole |
Candida Albicans | everywhere | fluconazole | ||
Candida Glabrata | everywhere | echinocandins (caspofungin, etc.) |