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Agranulocytosis medicamentosa is associated with:

A. Antibiotic use
B. Steroid therapy
C. Antifungal medications
D. Antihypertensive drugs

1 Answer

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Final answer:

Antihypertensive drugs can be associated with agranulocytosis medicamentosa, long-term use of broad-spectrum antimicrobials often leads to superinfections, and agammaglobulinemia is the genetic disorder leading to a lack of antibody production. Anti-inflammatory steroid treatments are commonly used for type III hypersensitivity reactions, and cholesterol is not a target for antifungal drugs.

Step-by-step explanation:

Agranulocytosis medicamentosa is typically associated with antithyroid drugs, but among the options provided, antihypertensive drugs (D) have been known to cause this condition. Agranulocytosis is a serious and potentially life-threatening reduction in the number of granulocytes, a type of white blood cell that helps fight infection. Patients receiving treatment for high blood pressure with certain antihypertensive medications like angiotensin-converting enzyme (ACE) inhibitors can occasionally develop this condition.

When considering which combinations might lead to a superinfection, long-term use of broad-spectrum antimicrobials (B) is most likely to contribute. Broad-spectrum antibiotics can kill a wide range of bacteria, including beneficial ones, leading to a superinfection where resistant organisms can overgrow.

Certain systemic disorders and treatments can also weaken the immune system, making it more susceptible to infections and complications. This includes systemic disorders such as diabetes mellitus, HIV infection, or severe malnutrition. Immunosuppressive treatments like cytotoxic chemotherapy or bone marrow ablation before transplantation, as well as prolonged critical illness in the very young or elderly patients, can also contribute.

For the genetic disease that results in the lack of production of antibodies, the correct answer is agammaglobulinemia (A). This condition is characterized by an absence or severe reduction of gamma globulins, including antibodies, in the blood.

Type III hypersensitivity reactions are often treated with anti-inflammatory steroid treatments (A), which can help reduce the immune response and inflammation associated with these reactions.

When discussing the target of antifungal drugs, cholesterol (C) is not an appropriate target as it is a component of human cell membranes, not fungal cells. Antifungal drugs usually target components unique to fungi, such as ergosterol, chitin, or B(1-3) glucan.

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