Treatment of cryptococcal meningitis in resource limited settings

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منابع مشابه

Responding to the evidence for improved treatment for cryptococcal meningitis in resource-limited settings.

Table. Registration status, availability and price of flucytosine and amphotericin B in 9 African countries.

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Cryptococcal Meningitis Treatment Strategies in Resource-Limited Settings: A Cost-Effectiveness Analysis

BACKGROUND Cryptococcal meningitis (CM) is the most common form of meningitis in Africa. World Health Organization guidelines recommend 14-d amphotericin-based induction therapy; however, this is impractical for many resource-limited settings due to cost and intensive monitoring needs. A cost-effectiveness analysis was performed to guide stakeholders with respect to optimal CM treatment within ...

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Antiretroviral Treatment in Resource-Limited Settings 2012

1HIV Vaccine Trials Network, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA 2Vaccine and Infectious Disease & Public Health Science Divisions, Fred Hutchinson Cancer Research Center, Seattle, WA 98109, USA 3Departments of Global Health and Epidemiology, University of Washington, Seattle, WA 98109, USA 4 Infectious Diseases Section, AIDS Program, Yale University School of Medicin...

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Standardized Electrolyte Supplementation and Fluid Management Improves Survival During Amphotericin Therapy for Cryptococcal Meningitis in Resource-Limited Settings

BACKGROUND Amphotericin B is the preferred treatment for cryptococcal meningitis, but it has cumulative severe side effects, including nephrotoxicity, hypokalemia, and hypomagnesemia. Amphotericin-induced severe hypokalemia may predispose the patient to cardiac arrhythmias and death, and there is very little data available regarding these toxicities in resource-limited settings. We hypothesized...

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Challenges in diagnosis and management of Cryptococcal immune reconstitution inflammatory syndrome (IRIS) in resource limited settings.

In many resource-limited settings, cryptococcal meningitis (CM) contributes up to 20% of all deaths with further complications due to Immune Reconstitution Inflammatory Syndrome (IRIS). We present a case report on a patient who developed CM-IRIS and then subsequent CM-relapse with a fluconazole-resistant organism and then later CM-IRIS once again, manifesting as cystic cryptococcomas, hydroceph...

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ژورنال

عنوان ژورنال: Current Opinion in Infectious Diseases

سال: 2009

ISSN: 0951-7375

DOI: 10.1097/qco.0b013e32832fa214