Paper II
2019 July (Supplementary) (2010 Scheme)

Question

Fluconazole / Ketoconazole in fungal meningitis Name the following (Two examples for each) (5x1=5)

Q150.3 marksShort Answers

Answer

Chosen drug: Fluconazole

Justification: Fluconazole has excellent CSF penetration and good oral bioavailability, making it effective for treating fungal meningitis (particularly cryptococcal meningitis). Ketoconazole has poor CSF penetration and is not effective for CNS fungal infections, in addition to carrying greater hepatotoxicity risk with systemic use — making fluconazole the appropriate choice.

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