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HIV Opportunistic infections. OIs- 10. OIs are the most common presentation of chronic treated HIV infection. OIs– 10. No. OIs - 20. OIs usually present when CD4< 300. OIs – 20. No usually when CD4 < 200. OIs - 30. The most common OI in HIV infection. OI – 30. Oral candidiasis.

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HIV Opportunistic infections


Ois 10
OIs- 10

  • OIs are the most common presentation of chronic treated HIV infection



Ois 20
OIs - 20

  • OIs usually present when CD4< 300


Ois 201
OIs – 20

  • No usually when CD4 < 200


Ois 30
OIs - 30

  • The most common OI in HIV infection


Oi 30
OI – 30

  • Oral candidiasis


Oi 40
OI - 40

  • Name 2 of the most life threatening OIs


Oi 401
OI– 40

  • PCP

  • Cryptococcosis


Oi 50
OI- 50

  • CMV presents when CD4 < 50 and prophylaxis with antivirals should be started


Oi 501
OI– 50

  • Antivirals are not part of prophylaxis for HIV related OIs


Pcp 10
PCP - 10

  • One of the most common causes of death from AIDS in 80s



Pcp 20
PCP- 20

  • PJP is a common environmental parasite


Mhc 20
MHC – 20

  • IT is a fungus not a parasite


Pcp 30
PCP- 30

  • Drug of choice for PCP prophylaxis and alternative if patient has allergy


Pcp 40
PCP– 40

  • Diagnostic test of choice for PCP


Pcp 401
PCP- 40

  • Diagnostic test of choice for PCP


Pcp 402
PCP– 40

  • Sputum DFA for PCP


Pcp 50
PCP- 50

  • One scenario that patient should stay on prophylaxis for PCP for life


Pcp 501
PCP– 50

  • If patient had episode of PCP with CD4 > 200


Cryptococcus 10
Cryptococcus- 10

  • The most common manifestation of cryptococcus infection


Cryptococcus 101
Cryptococcus– 10

  • CNS infection


Cryptococcus 20
Cryptococcus- 20

  • Why frequent LPs are needed with crypto meningitis?


Cryptococcus 201
Cryptococcus– 20

  • Increased ICP


Cryptococcus 30
Cryptococcus - 30

  • Name two diagnostic tests for Cryptococcus infection


Cryptococcus 301
Cryptococcus– 30

  • Cryptococcus antigen

  • Fungal culture


Cryptococcus 40
Cryptococcus - 40

  • Name the induction therapy for Cryptococcus


Cryptococcus 401
Cryptococcus– 40

  • Amphotericin + 5FC


Cryptococcus 50
Cryptococcus - 50

  • This regimen has been used in resource poor countries for treatment of Cryptococcus infection


Cryptococcus 501
Cryptococcus– 50

  • High doses fluconazole (>800 mg) plus 5FC


Toxoplasma 10
Toxoplasma- 10

  • Name 2 presentation of toxoplasmosis


Toxoplasma 101
Toxoplasma- – 10

  • Fever, headaches, seizures, no clinical manifestations


Toxoplasma 20
Toxoplasma - 20

  • A common carrier of toxoplasma (animal)



Toxoplasma 30
Toxoplasma - 30

  • The antibiotic that is used for prophylaxis for Toxoplasma is also effective for other OIs


Toxoplasma 301
Toxoplasma– 30

  • Bactrim is also effective against PCP


Toxoplasma 40
Toxoplasma- 40

  • Name alternative antibiotics for Toxoplasma (if there is allergy to the drug of choice)


Toxoplasma 401
Toxoplasma– 40

  • Clindamycin, pyrimethamine


Toxoplasma 50
Toxoplasma- 50

  • Duration of prophylaxis for toxoplasma


Toxoplasma 501
Toxoplasma- 50

  • Discontinue ppx when CD4>200 > 3 months


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