हल्का CMV कोलाइटिस जब मौखिक वैल्गैन्सीक्लोविर ने समाधान प्राप्त नहीं किया

References

• Valganciclovir 900 mg PO every 12 hours can be used in patients with mild disease (AIII).
• Oral valganciclovir can be used in patients with mild disease (AIII).
• Foscarnet 60 mg/kg IV every 8 hours or 90 mg/kg IV every 12 hours (BIII)—for patients with treatment-limiting toxicities to ganciclovir or with ganciclovir resistance; or
• Cidofovir 5 mg/kg/week IV for 2 weeks, then 5 mg/kg IV every other week.
• Administer 1 L of normal saline before and, if additional fluid load can be tolerated, administer another 1 L of normal saline after cidofovir infusion.
• Administer probenecid 2 g PO 3 hours before each cidofovir dose followed by 1 g PO 2 hours after the dose and 1 g PO 8 hours after the dose (total of 4 g) (CI).
• 21–42 days or until signs and symptoms have resolved (AIII).