Fungal meningitis medical therapy: Difference between revisions
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{{CMG}}; '''Assistant Editor(s)-in-Chief:''' [[User:Rim Halaby|Rim Halaby]] | {{CMG}}; '''Assistant Editor(s)-in-Chief:''' [[User:Rim Halaby|Rim Halaby]] | ||
==Overview== | ==Overview== | ||
Fungal meningitis, such as cryptococcal meningitis, is treated with long courses of high dose [[Antifungal drug|antifungals]]. In addition, frequent lumbar punctures are recommended in order to relieve the increased intracranial pressure. | Fungal meningitis, such as cryptococcal meningitis, is treated with long courses of high dose [[Antifungal drug|antifungals]]. In addition, frequent lumbar punctures are recommended in order to relieve the increased intracranial pressure<ref name="pmid15838017">{{cite journal| author=Bicanic T, Harrison TS| title=Cryptococcal meningitis. | journal=Br Med Bull | year= 2004 | volume= 72 | issue= | pages= 99-118 | pmid=15838017 | doi=10.1093/bmb/ldh043 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15838017 }} </ref>. | ||
==Medical Therapy== | ==Medical Therapy== | ||
Revision as of 16:41, 23 October 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Assistant Editor(s)-in-Chief: Rim Halaby
Overview
Fungal meningitis, such as cryptococcal meningitis, is treated with long courses of high dose antifungals. In addition, frequent lumbar punctures are recommended in order to relieve the increased intracranial pressure[1].
Medical Therapy
- The treatment of fungal meningitis, such as cryptococcal meningitis, is a long course of high dose antifungals. The most commonly administered antifungals are amphotericin B and flucytosine[2]. Other antifungals that can be used are miconazole and fluconazole.
- Increased intracranial pressure is a common finding in fungal meningitis. Therefore, it is recommended to do frequent, ideally daily, lumbar punctures to relieve the intracranial pressure.[1]
References
- ↑ 1.0 1.1 Bicanic T, Harrison TS (2004). "Cryptococcal meningitis". Br Med Bull. 72: 99–118. doi:10.1093/bmb/ldh043. PMID 15838017.
- ↑ Gottfredsson M, Perfect JR (2000). "Fungal meningitis". Seminars in Neurology. 20 (3): 307–22. doi:10.1055/s-2000-9394. PMID 11051295.