علاج داء كوكسيديس الوبائي الرئوي الحاد أثناء الحمل

References

DOI: 10.1093/cid/ciw360

• For women who develop initial nonmeningeal coccidioidal infection during their first trimester of pregnancy, intravenous AmB is recommended (strong, moderate).
• Other options include no therapy with close monitoring (weak, low), or an azole antifungal after educating the mother regarding potential teratogenicity (weak, low).
• After the first trimester of pregnancy, an azole antifungal, such fluconazole or itraconazole, can be considered (strong, low).
• A final alternative would be to administer intravenous AmB throughout pregnancy (weak, moderate).