Transcript Opportunistic Infections in HIV/AIDS Patients by Dr Yoster Yichiro

Opportunistic Infections in
HIV/AIDS Patients:
By
Yoster Yichiro MO., DCHMS
HIV/AIDS physician, Chuuk Hospital
OPPORTUNISTIC INFECTIONS IN
HIV/AIDS PATIENTS
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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:
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Age=28
Sex=female
Residence=Chuuk
Time of infection =1999/2000
Problems:
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Red eye
Blurry vision
Slight headaches
Intermittent watery stool (chronic)
Weight loss
Lethargy
Low grade fever
Case
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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:
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Admitted once for chronic diarrhea to medical
ward
No history of known drug allergy.
Family History:
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No history of Chronic illness in the family
Social History:
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Married (widow)
Three siblings died mysteriously.
Work in a retail store
She does not smoke
She does not drink alcohol
No drug use
Examination:
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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:
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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:
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GASTROENTERITIS
CHRONIC CONJUCNTIVITIS
HIV (+)
AIDS
WASTING SYNDROME
ORAL CADITIASIS
CERVISITIS
VITAMIN A DEFICIENCY
MANAGEMENT
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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