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الأسئلة المجابة 15396 | نسبة الرضا 98%

Doctor

HiI have a patient suffering from invasive...

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HiI have a patient suffering from invasive (faciocular) extension. She was treated by surgical debridement (ocular enucleation, maxillar sinus surgery) and received partial treatment with Liposomal ampho B for about 30 days. After some time she came back with headache and MRI revealed CNS extension (meniges and R frontal cortix). Liposomal ampho B is not available and I am planning to start her on amphoterecin B. What do you think?KR
Doctor's Assistant: Have you seen a doctor about this yet? What medications are you taking?
I am a doctor
Doctor's Assistant: Anything else in your medical history you think the doctor should know?
thank you

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الدكتور بشار سعيد

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الأسئلة المجابة 15396 | نسبة الرضا 98%

:Liposomal amphotericin B 
is an antifungal drug, and is frequently used to treat certain types of fungal insomnia
:Uses 
Cryptococcal meningitis is an infection of the lining of the spinal cord and brain
Visceral leishmaniasis is a parasitic disease of the spleen, marrow, and liver
histoplasmosis;
Ear candidiasis
Systemic fungal infections such as aspergillosis
:Side effect 
Hypokalemia
arrhythmia
nausea
Fever
vomiting
Hyperbilirubinemia
Reduction of Blood pressure
:What do we advise in your case
In your case, and in the case of the presence of fungal infection and meningitis, the treatment is used according to the type of infection. In the case of bacterial infection, antibiotics are used for the causative bacteria, and if the fungal infection, amphoterin B is used under medical supervision

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الدكتور بشار سعيد

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الأسئلة المجابة 15396 | نسبة الرضا 98%

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