A patient of acute leukemia is admitted with febrile neutropenia. On day four of being treated with broad-spectrum antibiotics, his fever increases. X-ray chest shows bilaterla fluffy infiltrates. Which of the following should be the most appropriate next step in the management - rpt: (A) Add antiviral therapy, (B) Add antifungal therapy, (C) Add cotrimoxazole, (D) Continue chemotheraphy
Answer is B. cotrimoxazole is an antibiotic. as the patient is immunocompromised most probable oppounistic infection is fungal infection and X Ray shows fluffy infiltrates suggestive of fungal infection. So antifungals are used. REF:Baveja textbook of microbiology 4th edition