70 y/o male with acute onset of severe nephrotic syndrome and AKI. clinically manifested with severe edema developed within a week period and serum albumin of 1.9gm/dl.
Kidney biopsy showed MCD.
Patient has chronic fungal endophthalmitis maintined on fluconazole.
Any suggestions on treatment protocol? Trying to avoid steroids or any T cell acting drugs to avoid flare up of the fungus.
Would you consider Rituximab?