OIs that affect the GI tract
- CD4 count < 200: Shigella, Campylobacter, Salmonella, E. coli, Yersinia, Norovirus
- CD4 count < 100: Esophageal candidiasis
- CD4 count < 50: MAC, CMV (more systemic infections), visceral KS
- All CD4 counts: C Diff
- Proctitis - HSV, HPV, Gonorrhea, Chlamydia
Posted 08/02/16 09:16:26 AM by Anna Krigel
- Microscopy with staining (often with Gomori methenamine silver stain) of an induced sputum specimen or BAL fluid is necessary as Pneumocystis cannot be cultured
- Beta-D-glucan assay (Fungitell) has been shown to have a sensitivity of 92% and specificity of 86% for detecting PCP
- Serum LDH has a high sensitivity for PCP but poor specificity
Posted 08/02/16 09:51:22 AM by Anna Krigel
Kaposi sarcoma management:
- All patients are recommended for antiretroviral therapy, though the initiation of ART has been associated with the progression of KS as part of IRIS
- Small skin lesions can be treated locally with intralesional vinblastine
- Systemic chemotherapy is typically with Doxil (pegylated liposomal doxorubicin) and used for disease with widespread skin involvement or symptomatic visceral involvement
Posted 08/02/16 10:09:55 AM by Anna Krigel
For further reading...
Posted 08/02/16 10:11:29 AM by Anna Krigel
Created by Christopher Kelly
Know a hypochondriac? Get them the best-selling book 'AM I DYING?!: A Complete Guide to Your Symptoms, and What to Do Next'
The information on the website does not constitute official guidelines except where explicitly stated.
It is not meant to replace the advice of a health professional.