Wednesday, June 29, 2011

SURGICAL INFECTIONS-FUNGAL








4. FUNGAL INFECTIONS
These infections are due to Candidas Albicans and are met with in
hospital patients
- they occur on mucocutaneous surfaces (lips,mouth)
- and in the intestinal and respiratory tracts.
Those susceptible are:
* Those on steroids
* Diabetics
* Those on broad spectrum antibiotics
Treatment can be with Nystatin.
Fluconazole(150mg)oral
Ampliotericic B (350-500 mg). This drug has toxic effects.

Actinomyeous israeli is the causative organism of the human disease.
Most often the infection occurs from the patients own mouth or
GIT organisms.

Cervicofacial induration is seen and the infection is from oral
fungi in the tartar, or in caries teeth.
Soon multiple sinus appear in the indurate area, sulphur granules are discharged, and if examined under microscopic the fungus will be observed.

Similar indurations can occur in the chest or on the right iliac
fossa.

TREATMENT
Pencillin (5-20 million units daily) for weeks is required.
Surgical drainage may also be required.

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