ld student presents to ED reporting with chest pain and non-productive cough that began 1 week ago. His symptoms are progressing, and he now has a low-grade fever, productive cough, weakness, hemoptysis and anorexia. Chest X-ray reveals an infiltrate in an upper left lobe of the lungs. Culture of the infiltrate reveals fungal elements of Blastomyces dermatitid

Health Safety And Nutrition F/Young Child
9th Edition
ISBN:9781305144767
Author:MAROTZ
Publisher:MAROTZ
Chapter6: Childhood Illnesses
Section: Chapter Questions
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A 21-year-old student presents to ED reporting with chest pain and non-productive cough that began 1 week ago. His symptoms are progressing, and he now has a low-grade fever, productive cough, weakness, hemoptysis and anorexia. Chest X-ray reveals an infiltrate in an upper left lobe of the lungs. Culture of the infiltrate reveals fungal elements of Blastomyces dermatitidis. The patient was started on an intravenous antifungal. Two weeks later patient’s serum creatinine is significantly elevated. Which of the following was most likely prescribed for this patient?

  1. Clotrimazole
  2. Itraconazole
  3. Colloidal amphotericine B
  4. Voriconazole
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