For moderated, severe or critical disease

a) Author’s Indication:

METHYLPREDNIOLONE 1000 mg or 500 MG INTRAVENOUS FOR 3 DAYS WITH UNASSOCIATED WITH.

b) Iranian protocol (Maryan Edalatfard et al.)

METHYLPREDNISOLONE 250 MG FOR 3 DAYS AS PERFORMED BY THE IRANIAN PROTOCOL DURING THE ACUTE PHASE OF THE DISEASE.

Perform Ivermectin 6 mg 2 tablets in a single dose as prophylaxis for disseminated strongyloidiasis.

Associate antimicrobial if there are positive blood, urine or bronchoalveolar lavage cultures

Antimicrobial

It is not mandatory initially, but as there is a high possibility of bacterial translocation in the LCS, start Ceftriaxone 1 g every 12 hours if the medical evaluation shows a possibility of over-aggregated bacterial infection.