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PostSubject: immunodeficiency states   Fri Apr 06, 2007 2:54 pm

The 4-8 bladder having the catheter out irrigation solution amfoteritina B dose of 50 mg / l; Patients with kandiduriei inside flukonazol designate. For disseminated form of amphotericin B dose of 0.4-0.5 mg / kg / day or in a double dose of the day is a product of choice. Vial 150 mg / kg / day added to treatment, reducing the dose In amfoteritina to 0.3 mg / kg / day if the drug is contraindicated. Flukonazol dose of 400 mg per day is used for prevention in patients with immune deficiency. It can be applied to the treatment of patients with liver 4-8 if they do not have neutropenia. Candida krusei resistant to flukonazolu. Aspergillez light coughing - plesnevelae fungi Aspergillus kind. Clinical significance is Aspergillus fumigatus. Disease pathogenesis is fertilizer spores of a fungus, followed by the infiltration of the lungs in patients with immune deficiency. The 90% of patients with a risk of infection, there are two or three factors : less than 500 granulozitov, receiving glucocorticoids in the high dose treatment or zitostatikami (azathioprine). Invasive aspergilleza option may meet with the HIV infection, usually with the depletion T-helperov and neutropenia. Characteristically distribution krovenosni pressure, the emergence of tissue necrosis, haemorrhagic infiltrates. Aspergillus can also spread бронхиальному damaged tree, colonize yet to be infected cyst in the lungs or cavities. The often as a secondary infection from weakened depleted patients, especially in the wake of diabetes mellitus, tuberculosis, blood diseases, immunodeficiency states. Rise also helps prolonged antibiotic therapy, korticosteroidami, immunodepressantami. In most cases, aspergilloma arise sanitized tuberculosis cavities and cavities after abzessov, bronhoektazah and a ball of thread attacks. Located in the upper divisions of the lung, are right. Clinic significant increase weakness, anorexia, increased body temperature often occur oznoba and much skin. The main symptom strong pristupoobrazny cough allocating rich culture krovanistogo color containing fruit flakes (where fungus mycelium) and progilok blood. Sometimes it is krovoharkanye. The disease is characterized by seizures suffocation. This form of the disease often emerges of a problematical allergologicakim history working in the mills, garment factories, the warehouses, grain and poultry farms, in greenhouses.

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