PT  - JOURNAL ARTICLE
AU  - Gokul Krishnan
AU  - Nitin Gupta
AU  - Kavitha Saravu
AU  - Handattu Manjunath Hande
AU  - Ruchee Khanna
TI  - Deoxycholate amphotericin for histoplasmosis in a patient with poor kidney function
AID  - 10.1136/bcr-2021-243984
DP  - 2021 Aug 01
TA  - BMJ Case Reports
PG  - e243984
VI  - 14
IP  - 8
4099  - http://casereports.bmj.com/content/14/8/e243984.short
4100  - http://casereports.bmj.com/content/14/8/e243984.full
SO  - BMJ Case Reports2021 Aug 01; 14
AB  - A 48-year-old male patient living with HIV presented to our hospital with fever and weight loss. On evaluation, he was found to have pancytopenia, deranged liver and kidney function. CD4 count was 13 cells/uL. Bone marrow examination done because of pancytopenia showed yeast forms of histoplasmosis. Although liposomal amphotericin B is preferred for induction, he was treated with deoxycholate amphotericin B despite poor kidney function because of financial constraints. He was treated for 12 days with intravenous amphotericin, during which his clinical condition significantly improved. He was discharged on oral itraconazole.