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Seminar
Treatment of Opportunistic Infections
| Opportunistic Infection | Preferred Regimen | Alternative Regimen | Secondary |
|---|---|---|---|
| Candidiasis | Fluconazole | Oropharyngeal: Itraconazole, Posaconazole, Topicals Esophageal: Voriconazole, Isovuconazole, Echinocandin | NOT Recommended |
| Cryptococcus Meningitis | Amphotericin B + Flucytosine | Fluconazole + Flucytosine OR Amphotericin B + Fluconazole | Fluconazole (Low Dose) |
| CMV | Valganciclovir OR GancIclovir | If toxicities or resistance: Foscaranet or Cidofovir | NONE |
| MAC | Clarithromycin or Azithromycin + Ethambutol | Rifabutin, Amikacin, Streptomycin, Moxifloxacin, Levofloxacin | Same as Treatment |
| PJP | Bactrim +/- Prednisone or Medrol x 21 days | Pentamidine or Clindamycin + Primquine | Same as Treatment |
| Toxoplasma gondii | Pyrimethamine + Leucorovin + Sulfadiazine or Bactrim | Clindamycin + Pyrimethamine + Leucorovin | Same as Treatment (Low Dose) |