▁increased ▁resistance ▁based ▁on ▁the ▁production ▁of ▁beta - la ct am ase . ▁ ▁Pat ients ▁who ▁have ▁under g one ▁recent ▁pen ic ill in ▁ther apy ▁have ▁demonstrated ▁an ▁increase ▁in ▁beta - la ct am ase - produ cing ▁( ana er ob ic ▁and ▁aer ob ic ) ▁b acter ia . ▁ ▁Cl ind am yc in , ▁or ▁a ▁combination ▁of ▁met ron id az ole ▁and ▁a ▁macro lide , ▁or ▁a ▁pen ic ill in ▁combined ▁with ▁a ▁beta - la ct am ase ▁in hib itor ▁is ▁recommended ▁in ▁these ▁cases . ▁ ▁F ung al ▁thy roid itis ▁can ▁be ▁treated ▁with ▁am ph oter ic in ▁B ▁and ▁flu con az ole . ▁ ▁Early ▁treatment ▁of ▁A IT ▁prevents ▁further ▁comp lications . ▁ ▁However , ▁if ▁ant ib i otic ▁treatment ▁does ▁not ▁manage ▁the ▁in fection , ▁surg ical ▁d rain age ▁is ▁required . ▁ ▁Sym pt oms ▁or ▁indic ations ▁requiring ▁d rain age ▁include ▁continued ▁fe ver , ▁high ▁white ▁blood ▁cell ▁count , ▁and ▁continu ing ▁signs ▁of ▁local ized ▁infl amm ation . ▁ ▁The ▁dra ining ▁procedure ▁is ▁also ▁based ▁on ▁clin ical ▁exam ination ▁or ▁ul tras ound / CT ▁scan ▁results ▁that ▁indicate ▁an ▁abs cess ▁or ▁gas ▁formation . ▁ ▁Another ▁treatment ▁of ▁A IT ▁involves ▁surg ically ▁removing ▁the ▁f ist ula . ▁ ▁This ▁treatment ▁is ▁often ▁the ▁option ▁recommended ▁for ▁children . ▁ ▁However , ▁in