Date post: | 14-Jan-2017 |
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Health & Medicine |
Upload: | bhupendra-shah |
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COMMON OPPURTUNISTIC INFECTONPROTOZOA FUNGUS
Pneumocystis jiroveci toxoplasmosis
Candiasis Cryptosporiodiasis
Cryptococcus neoformans Isosporiasis
Common agents for OIsBACTERIA VIRUS
Streptococcal pneumonia Cytomegalo virus
Mycobacterial tuberculosis Varicella zooster
Mycobacterial avium complex
Human pappiloma virus
Salmonellois Molluscum contagiosum
Oral hairy leukoplakia
CD4 VS OPPURTUNISTIC INFECTIONCD4 LEVEL OPPURTUNISTIC INFECTIONS
<400 Herpes zooster, Tuberculoisis
<300 Oral candidiasis
<200 Pneumocystis carini, pneomonia, oesophageal candiasis
<100 MAC,Toxoplasmosis,Cryptococcus
<50 Cryptosporiadiasis
Tuberculosis Risk of TB increases with progressive
immuno-suppression
Risk of extra-pulmonary TB and disseminated TB increases
Non specific finding in CXR.
Primary and secondary prophylaxis for OIsorganism Condition Drugs
P.Jiroveci CD4 less than 500/mm3 WHO stage 2/3/4
Trimethoprim/sulfamethaxazole 1 tab od
M.Tuberculosis Mantoux >5mm Isoniazide 300 mg od for 6 months
Toxoplasma gondii CD4 count<100 TMP/Sulmethaxozole 1 tab od
Crytocococcus neoformans
CD4<100 Flucanazole 200 mg od
Mycobacterium avium complex
CD4<100/mm3 Azithromycin 1200 mg /wkly
Immune reconstitution inflammatory syndrome
Collection of inflammatory disorders
with paradoxical worsening of preexisting infectious process
following initiation of HAART.
Leading pathogens in IRIS
Mycobacterium tuberculosis MAC Cytomegalovirus Cryptococcus Pneumocystis Herpes simplex Hepaatitis B