Aspergillosis medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
===Pharmacotherapy=== | ===Pharmacotherapy=== | ||
*A | *A fungus ball is usually not treated (with antifungal medicines) unless there is bleeding into the lung tissue. In that case, '''surgery''' is needed. | ||
* | *Invasive aspergillosis is treated with several weeks of an antifungal drug called [[voriconazole]]. It can be given both oral and intravenous route. [[Amphotericin B]], [[echinocandins]], or [[itraconazole]] can also be used. '''Endocarditis''' caused by ''Aspergillus'' is treated by surgically removing the infected heart valves. Long-term antifungal therapy is also needed. <ref>http://www.cdc.gov/fungal/aspergillosis/treatment.html</ref> | ||
*'''Allergic aspergillosis''': Antifungal drugs alone do not help people with allergic aspergillosis. Allergic aspergillosis is treated with drugs that suppress the immune system (immunosuppressive drugs) -- most often oral [[prednisone]]. | *'''Allergic aspergillosis''': Antifungal drugs alone do not help people with allergic aspergillosis. Allergic aspergillosis is treated with drugs that suppress the immune system (immunosuppressive drugs) -- most often oral [[prednisone]]. | ||
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[[Category:Fungal diseases]] | [[Category:Fungal diseases]] | ||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Needs overview]] | |||
} | } | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Revision as of 20:21, 12 December 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Medical Therapy
Pharmacotherapy
- A fungus ball is usually not treated (with antifungal medicines) unless there is bleeding into the lung tissue. In that case, surgery is needed.
- Invasive aspergillosis is treated with several weeks of an antifungal drug called voriconazole. It can be given both oral and intravenous route. Amphotericin B, echinocandins, or itraconazole can also be used. Endocarditis caused by Aspergillus is treated by surgically removing the infected heart valves. Long-term antifungal therapy is also needed. [1]
- Allergic aspergillosis: Antifungal drugs alone do not help people with allergic aspergillosis. Allergic aspergillosis is treated with drugs that suppress the immune system (immunosuppressive drugs) -- most often oral prednisone.
The drugs amphotericin B, caspofungin, flucytosine, itraconazole, voriconazole are used to treat this fungal infection.[2]
References
- ↑ http://www.cdc.gov/fungal/aspergillosis/treatment.html
- ↑ Herbrecht R, Denning D, Patterson T, Bennett J, Greene R, Oestmann J, Kern W, Marr K, Ribaud P, Lortholary O, Sylvester R, Rubin R, Wingard J, Stark P, Durand C, Caillot D, Thiel E, Chandrasekar P, Hodges M, Schlamm H, Troke P, de Pauw B; Invasive Fungal Infections Group of the European Organisation for Research and Treatment of Cancer and the Global Aspergillus Study Group. (2002). "Voriconazole versus amphotericin B for primary therapy of invasive aspergillosis". N Engl J Med. 347 (6): 408–15. PMID 12167683. Unknown parameter
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