Document 0271 DOCN M94A0271 TI Management of systemic manifestations of fungal disease in patients with AIDS. DT 9412 AU Stevens DA; Department of Medicine, Santa Clara Valley Medical Center, San; Jose, CA 95128-2699. SO J Am Acad Dermatol. 1994 Sep;31(3 Pt 2):S64-7. Unique Identifier : AIDSLINE MED/94358253 AB In patients with AIDS with cryptococcosis, prompt diagnosis is essential. Poor results with conventional therapy (amphotericin-5FC) have led to exploration of the azoles. Both fluconazole and itraconazole have given good short-term results with less toxicity. However, cure is achieved far less often than in other compromised hosts. Fluconazole is also useful to prevent relapse after successful initial amphotericin therapy, particularly from genitourinary foci. In both histoplasmosis and aspergillosis, itraconazole has produced impressive therapeutic results, and in histoplasmosis, secondary prophylaxis as well. In coccidioidomycosis results thus far have not been better than conventional amphotericin therapy, especially in initial treatment. DE Acquired Immunodeficiency Syndrome/*COMPLICATIONS Amphotericin B/*THERAPEUTIC USE Coccidioidomycosis/COMPLICATIONS/*DRUG THERAPY/EPIDEMIOLOGY/ IMMUNOLOGY Cryptococcosis/COMPLICATIONS/*DRUG THERAPY/EPIDEMIOLOGY/ IMMUNOLOGY Drug Therapy, Combination Fluconazole/*THERAPEUTIC USE Histoplasmosis/COMPLICATIONS/*DRUG THERAPY/EPIDEMIOLOGY/ IMMUNOLOGY Human Itraconazole/*THERAPEUTIC USE Meningitis, Cryptococcal/COMPLICATIONS/DRUG THERAPY/EPIDEMIOLOGY/ IMMUNOLOGY JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).