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Question

Consider the following statements with regard to Amphotericin B :
1. It is a narrow spectrum antifungal agent.
2. It can cause nephrotoxicity.
3. It lacks an oral preparation.
4. Its lipid formulations are less toxic.
Select the correct answer using the code given below:

The correct answer is
2, 3 and 4

Amphotericin B Properties Analysis

Let's analyze the given statements about Amphotericin B:

  • Statement 1: It is a narrow spectrum antifungal agent. This statement is incorrect. Amphotericin B is known for its broad-spectrum activity against a wide range of fungi, including yeasts and molds.
  • Statement 2: It can cause nephrotoxicity. This statement is correct. Nephrotoxicity (kidney damage) is a well-documented and significant side effect associated with Amphotericin B therapy.
  • Statement 3: It lacks an oral preparation. This statement is correct. Amphotericin B has very poor oral bioavailability and is primarily administered via intravenous infusion for systemic infections. Oral preparations are not typically used for systemic treatment.
  • Statement 4: Its lipid formulations are less toxic. This statement is correct. Lipid formulations of Amphotericin B (such as liposomal Amphotericin B) were developed to mitigate the severe toxicity, particularly nephrotoxicity, associated with the conventional deoxycholate formulation.

Final Conclusion

Statements 2, 3, and 4 are accurate descriptions of Amphotericin B.

The correct selection consists of the accurate statements: 2, 3, and 4.

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Important Questions from Fungal Infections

  1. A 32-year old HIV infected male presents with shortness of breath and moderate fever of two- week duration. On examination, cyanosis is present, with respiratory rate of 22/minute and some basal crackles in chest. The CT chest shows bilateral ground-glass pattern. The most likely etiologic diagnosis is:
  2. Cryptococcal infection is acquired through:
  3. Echinocandins are a class of:
  4. Antifungal agent of choice for the treatment of mucormycosis is:
  5. Which one of the following moulds causes mucormycosis, commonly known as 'black fungus'?
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