A 60-year-old man is brought to the emergency department by his wife because of swelling and facial pain over the past 3 days. His wife reports that he has a history of type 1 diabetes mellitus. His temperature is 38.8°C (101.8°F). He is confused and oriented only to person. Examination shows left periorbital swelling that is tender to palpation, mucopurulent nasal dischrage, and a black necrotic spot over the nose. The diagnosis of invasive mucormycosis is made, and surgical debridement is performed. He is started on an amphotericin B. Considering the adverse effects of this medication, which of the following should be routinely monitored in this patient?

Question

A 60-year-old man is brought to the emergency department by his wife because of swelling and facial pain over the past 3 days. His wife reports that he has a history of type 1 diabetes mellitus. His temperature is 38.8°C (101.8°F). He is confused and oriented only to person. Examination shows left periorbital swelling that is tender to palpation, mucopurulent nasal dischrage, and a black necrotic spot over the nose.   The diagnosis of invasive mucormycosis is made, and surgical debridement is performed.  He is started on an amphotericin B.   Considering the adverse effects of this medication, which of the following should be routinely monitored in this patient?

Quizplus · Accepted Answer

Eductional Objective: Rhizopus and Mucor species are typically manifests as a unilateral, invasive, maxillofacial infection with headache, facial pain, nasal discharge, and fever, as seen in this patient. Amphotericin B is a polyene antifungal drug notorious for its renal toxicity.  Severe hypokalemia and hypomagnesemia are commonly seen during therapy and often require daily supplementatio

A 60-Year-Old Man Is Brought to the Emergency Department by His