Lecture 26: Invasive Fungal Infection Flashcards

(29 cards)

1
Q

Nephropathy consider what fungal organism

A

Systemic Aspergillosis

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2
Q

hepatopathy consider what fungal organism

A

histoplasmosis

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3
Q

ctyopenias consider what fungal organism

A

histoplasmosis

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4
Q

what fungal organism likes to cause discospondylitis

A

aspergillosis

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5
Q

what’s this

A

blastomyces

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6
Q

what this

A

histoplasmosis

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7
Q

what this

A

Cryptococcus

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8
Q

what this

A

aspergillosis

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9
Q

what is the primary biomarker for blastomyces and best sample type

A

antigen EIA- Galactomannan
Sample type: urine

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10
Q

what is the secondary biomarker for blastomyces

A

antibody IgG EIA

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11
Q

what is the primary biomarker and best sample type for histoplasmosis

A

antigen EIA- galactomannan
Urine best sample type

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12
Q

what is secondary biomarker for histoplasmosis

A

antibody IgG EIA

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13
Q

what is the primary biomarker for cryptococcus and what is test of choice

A

antigen- glucoronoxylomannan

Test: latex agglutination

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14
Q

what is primary biomarker for systemic aspergillosis and best sample type

A

antigen- galactomannan
Best sample: serum

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15
Q

what commonly used in vet med can cause false + to aspergillosis biomarker test

A

Vetivex pHLyte (fluids)

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16
Q

what is primary biomarker for sinonasal aspergillosis

A

antibody AGID

17
Q

t or f: a negative biomarker test for sinonasal aspergillosis does not rule out SNA

18
Q

what is tx for mild-moderate out patient histo

A

itraconazole > fluconazole

19
Q

what is tx for severe life threatening histo, blasts, cryptococcus and aspergillosis

A

amphotericin B

20
Q

what is salvage/rescue tx for histo

A

posaconazole >voriconazole

Or

Terbinafine +azole

21
Q

what is mild-moderate outpatient tx for blasto

A

itraconazole > fluconazole

22
Q

what is salvage/rescue tx for blasto

A

posaconazole > voriconazole

Or

Terbinafine and azole

23
Q

what is tx for mild-moderate outpatient cryptococcus

A

fluconazole > itraconazole

24
Q

what is salvage/rescue tx for cryptococcus

A

posaconazole > voriconazole

25
what is tx for mild-moderate outpatient aspergillosis
1. Posaconazole + Terbinafine 2. Voriconazole + Terbinafine
26
what is salvage/rescue tx for aspergillosis
amphotericin B
27
t or f: itraconazole is best when compounded
false- not absorbed
28
give itraconazole capsule with
food
29
what are the criteria of when you can stop antigungal
1. 6 months tx (12 for asper) 2. >1 month since clinical signs 3. >1 month since abnormal PE signs 4. >1 month since abnormal imaging 5. >1 month since negative biomarker test