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Diagnosis and Treatment of Systemic Mycosis (Diagnosis dan Pengobatan Mikosis Sistemik)
Cases of systemic mycosis are seldom recognized or reported and they usually were in advertently found during examination for other diseases. Examinations for mycotic infection were usually considered only after results of examinations did not support the suspected bacterial infection. The increased use of antibiotics and corticosteroids, and the increasing number of cases with immunodeficiency syndrome has also resulted in the increased number of systemic mycotic infections. In Indonesia and other tropical countries, bacterial and parasitic infections, such as tuberculosis, typhoid, infection of the digestive tract, malaria and filariasis, are still prominent which demand most attention from the physicians. The unspecific signs and symptoms of systemic mycosis are other confounding factors. Contemplating the possibility of systemic mycotic infection, followed by sending clinical materials for examination, will lead to the diagnosis of mycosis. Other complicating factor is the fact that mycological examinations have not been done in most clinical laboratories. This paper reports some experiences in the diagnosis and treatment of systemic mycosis.
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