Question of the Week

Question :

Posted On : 07 Jun 2007

Can't antifungal be started empirically if patient fails to respond to usual antibiotics and the sensorium continues to deteriorate?

Expert Answer :

No expert answer available.

Answer Discussion :

zabrul haque

need to do viral study.
CT! LP!

17 years ago

dr. abhishek

should not be used

17 years ago

safy nawar

culture and sensitivity should done

17 years ago

vss

ya. but after LP

17 years ago

pediatriconcall

In a study from Illinois, it was found that from 1,225 samples of CSF which were cultured for both bacteria and fungi. Of 1,225 samples of CSF reviewed, 12 tested positive for fungi, either by bacterial culture, fungal culture, or the cryptococcal antigen test. {Ref: J Clin Microbiol. 2004 January, 42{1}: 236–238. }
Antifungals cannot be started empirically in a child with meingitis unless fungal infection has been proved as the incidence of fungal meningitis is low and treatment consists of amphotericin B with-without flucytosine for a prolonged period of time.

17 years ago

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