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Opportunistic Infections in HIV/AIDS Patients:. By Yoster Yichiro MO., DCHMS HIV/AIDS physician, Chuuk Hospital. OPPORTUNISTIC INFECTIONS IN HIV/AIDS PATIENTS. It is the stage when the CD4 (T-cell ) are too low and unable to protect the “HOST” HUMAN

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opportunistic infections in hiv aids patients

Opportunistic Infections in HIV/AIDS Patients:

By

Yoster Yichiro MO., DCHMS

HIV/AIDS physician, Chuuk Hospital

opportunistic infections in hiv aids patients2
OPPORTUNISTIC INFECTIONS IN HIV/AIDS PATIENTS
  • It is the stage when the CD4 (T-cell ) are too low and unable to protect the “HOST” HUMAN
  • Other infections have the opportunity to infect the Host.
history of present illness
History of Present Illness:
  • Age=28
  • Sex=female
  • Residence=Chuuk
  • Time of infection =1999/2000
problems
Problems:
  • Red eye
  • Blurry vision
  • Slight headaches
  • Intermittent watery stool (chronic)
  • Weight loss
  • Lethargy
  • Low grade fever
slide5
Case
  • Patient came to PH clinic due to blurry of vision, chronic red eye, weakness, foul smelly vaginal discharge with slight weight loss. Patient has not receive any medication for her problems.
past medical history
Past medical History:
  • Admitted once for chronic diarrhea to medical ward
  • No history of known drug allergy.
family history
Family History:
  • No history of Chronic illness in the family
social history
Social History:
  • Married (widow)
  • Three siblings died mysteriously.
  • Work in a retail store
  • She does not smoke
  • She does not drink alcohol
  • No drug use
examination
Examination:
  • Thin
  • Oral thrush
  • Chronic nasal congestion
  • Cornea cloudy and hazy
  • impaired visual acuity
  • Crackles
  • Skin rash
  • Vaginal discharges with foul smell
  • Muscle wasting
laboratory findings
Laboratory findings:
  • CBC=4.3, hct 34%
  • CD4 COUNTS pending
  • Viral load=pending
  • HIV antibody test “POSITIVE”
  • ELISA & WESTERN BLOT CONFIRMED
  • Stool examination-not done
  • Chest X-ray normal
impression
IMPRESSION:
  • GASTROENTERITIS
  • CHRONIC CONJUCNTIVITIS
  • HIV (+)
  • AIDS
  • WASTING SYNDROME
  • ORAL CADITIASIS
  • CERVISITIS
  • VITAMIN A DEFICIENCY
management
MANAGEMENT
  • BACTRIM DS 2 TABLETS OID
  • NYSTATIN ORAL SUSPENSION twice a day for 7-10 days
  • MULTIVITAMINS 1 tablet daily for one month
  • RETINOL 1 capsule stat then the next day and repeat the dose after one week