By Malcolm D. Richardson, David W. Warnock
Concise, updated consultant to the medical manifestations, laboratory analysis and administration of superficial, subcutaneous and systemic fungal infections"I may suggest this e-book to all microbiologists and clinicians frequently facing sufferers being affected by fungal infections."Journal of scientific MicrobiologyWHY purchase THIS BOOK?Thorough replace of important advancements within the prognosis and administration of fungal infections updated drug and dosage techniques up to date in accordance with present instructions New characteristic: epidemiology and prevention part in every one bankruptcy plus additional examining lists of key papers New function: algorithms in each one part on administration and remedy of key fungal infections Problem-orientated to assist clinician make most sensible use of time-consuming laboratory investigationsThis name is now on hand for the PDA, powered by way of Skyscape - to shop for your replica click on right here
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Extra info for Fungal Infection: Diagnosis and Management (2003)
Urine samples should be processed for microscopic examination and culture, but can also be tested for fungal antigens. Patients with blastomycosis or cryptococcosis may have prostatic infection, and it is therefore important to collect urine specimens following prostatic massage. The specimen should be centrifuged and the sediment cultured. Other disseminated infections that can be diagnosed on the basis of a positive urine culture include coccidioidomycosis and histoplasmosis. 8 Other fluids Chest, abdominal and joint fluids, whether aspirated or drained, should be collected into sterile containers L A B O R A T O R Y D I A G N O S I S O F F U N G A L I N F E C T I O N 119 which include a small amount of sterile heparin (diluted 1:lOOO) to prevent clotting.
In addition, the ubiquitous nature of many moulds in the environment makes it difficult to prevent exposure. Housing high-risk patients, such as HSCT recipients, in laminar airflow (LAF) rooms supplied with filtered air has helped to prevent the acquisition of opportunistic fungal infections, such as aspergillosis, within the hospital. However, recent reports suggest that these infections are now more likely to develop some months after transplant, once engraftment has occurred and usually in the setting of chronic graftversus-host disease (GVHD) and its treatment.
12 Tissue Tissue specimens should be placed in sterile saline and not in formalin. If possible, material should be obtained from both the middle and the edge of lesions. Total excision of small cutaneous, subcutaneous or mucosal lesions is often possible. 3 Specimens for serological tests Serological tests for dimorphic fungal pathogens are much more helpful if paired or sequential specimens are collected. Blood, CSF, urine and other biological fluids for serological testing should be collected into glass or plastic tubes without anticoagulants; 5-10 ml is usually sufficient.
Fungal Infection: Diagnosis and Management (2003) by Malcolm D. Richardson, David W. Warnock