Author: Brian Holtry

Sepsis

Sepsis. Description of Medical Condition. Medical Symptoms and Signs of Disease. What Causes Disease?

Corneal ulceration

Corneal ulcers represent an infection of the cornea by bacteria, virus or fungi as a result of breakdown in the protective epithelial barrier. If left untreated, corneal ulcers can result in blindness. Ulcerations may be central or marginal.

Pneumonia, bacterial

An acute, bacterial infection of the lung parenchyma. Infection may be community-acquired or nosocomial (hospital acquired by an inpatient for at least 48 hours or inpatient in the previous 90 days). Most commonly, community-acquired disease is caused by Streptococcus pneumoniae or Mycoplasma pneumoniae. Hospital-acquired pneumonia is usually due to gram negative rods (60%, such as Pseudomonas) or Staphylococcus (30%).

Arthritis, infectious

Invasion of joints by live microorganisms or their fragments. One of the few curable causes of arthritis. May allow early recognition of systemic infection/disease. Limit activity or splint the joint initially.

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Ribavirin is indicated in the treatment of carefully selected hospitalized infants and young children with severe lower respiratory tract infections due to respiratory syncytial virus (RSV). In addition, ribavirin (600 to 1800 mg / day for 10 to 14 days) has shown effectiveness in acute and chronic hepatitis, herpes genitalis, measles, and Lassa fever. The antiviral mechanism of action of ribavirin relates to alteration of cellular nucleotide pools and inhibition of viral messenger RNA synthesis. Intracellular phosphorylation to the mono-, di-, and triphosphate derivatives is mediated by host cell enzymes.

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Itraconazole (Sporonox) is available as a capsule and two solution formulations, one for oral and one for intravenous administration. The capsule form of the drug is best absorbed in the fed state, but the oral solution is better absorbed in the fasting state, providing peak plasma concentrations that are more than 150% of those obtained with the capsule. Both the oral solution and intravenous formulation are solubilized in a 40:1 weight ratio of itraconazole hydroxypropyl-β-cyclodextrin, so that administration of 200 mg of itraconazole provides 8 g of this excipient.

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Ketoconazole is an antifungal agent that impairs synthesis of ergosterol, allowing increased permeability in fungal cell membrane and leakage of cellular components. It is indicated in the treatment of susceptible systemic and cutaneous fungal infections. Topical: used for seborrheic dermatitis, tinea corporis, tinea cruris, tinea pedis, and tinea versicolor. Ketoconazole (200 mg daily) is indicated in the treatment of the following systemic fungal infections: candidiasis, chronic mucocutaneous candidiasis, oral thrush, candiduria, blastomycosis, coccidiomycosis, histoplasmosis, chromomycosis, and paracoccidioidomycosis.

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Terbinafine is an infective / antifungal agent that inhibits squalene epoxidase, resulting in ergosterol deficiency and a corresponding accumulation of squalene within the fungal cell leading to fungal cell death. It is indicated in the treatment of onychomycosis of the toenail or fingernail caused by dermatophytes.