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7 Cards in this Set
- Front
- Back
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PCP (pneumocystis jiroveci (carinii) pneumonia)
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– not airborne
– tachypnea, cough, SOB, fever – Dx by chest xray, sputum, bronchoscopy – treated with pentamidine, TMP/SMX, dapsone, steroids – *prophylaxis started at CD4 of 200 or less • septra/bactrimDS |
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MAC (mycobacterium avium complex)
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– systemic infection, not contagious
– sx are fever, weight loss, anemia, diarrhea, abdominal pain – dx by culture of body fluids – treated with clarithromycin or azithromycin with ethambutol or rifabutin or cipro etc – *prophylaxis started at CD4 of 100 or less • azithromycin 1200 mg 1 X a week |
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CMV (cytomegalovirus)
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– affects the eyes and GI tract primarily
– leading cause of blindness and decreased visual acuity – dx with fundoscopic exam, colonoscopy – treated with ganciclovir (bone marrow toxicity) • intraocular implants available • IV for GI |
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Toxoplasmosis
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– usually presents as encephalitis
– dx MRI, biopsy – tx pyrimethamine plus another agent which will vary – *prophylaxed with TMP/SMX so PCP prophylaxis covers both |
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Tuberculosis
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– may be pulmonary or other organs (brain)
– sx cough, night sweats, weight loss – dx >5mm skin test, chest xray, sputum culture – treated with at least 3 drug regimen, usually 4 |
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Herpes
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– diagnosed with culture of lesions
– treated and prophylaxed with acyclovir, valacyclovir, or famciclovir |
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OTHER ISSUES
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• Anemia due to disease and/or drug therapy is treated with erythropoeitin
• Leukopenia due to disease and/or drug therapy is treated with neupogen • Neuropathy due to drugs is treated with neurontin or other similar meds |
