pxx273. Severe penicilliosis involving the whole body including palate, lips and skin. The patient was treated with itraconazole for 5 months before being admit in our ward. Our experience tells us that such a patient needs amphotericin. We refered him to another hospital which gave ampho... (see effect on last photos of carrousel)... If ampho is not available the only thing we can do is to give fluconazole(less active again penicillium) or fluconazole+ itraconazole... Usually there is no cross resistance between the 2 drugs.

See "30-Penicilliosis"