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Alternative therapy for mild- moderate disease is a combination of dapsone and trimethoprim or primaquine and clindamycin or atovaquone or trimetrexate with leucovorin. Pentamidine—pancreatitis, hyperglycemia, hypoglycemia Steroids are used as adjunctive therapy for any patient with severe pneumonia. Ganciclovir—neutropenia or foscarnet-renal toxicity Cidofovir—renal toxicity Prophylaxis. A ubiquitous atypical mycobacteria found in the environment; mode of infection is inhalation or ingestion. Principal Diagnostic Tests Blood culture Culture of bone marrow, liver, or other body tissue or fluid Treatment.

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