215 - Pneumocystis Infections Flashcards
Pneumocystis is not sensitive to __.
azole
Pneumocystis is the most common etiology for __ in HIV patients.
pneumonia
Clinical presentation of pneumocystis include: 4
dyspnea
dry cough
fever
pleuritic pain
In HIV patients the pneumocystis progression is more __. __ symptoms may appear, together with __ lesions.
indolent
B
mouth
Pneumocystis may cause __ mass at the distal part of the __.
polypoid
external ear
Systemic involvement is rare but may include: 5
eye BM LN spleen liver
Pneumocystis CXr shows- diffused bilateral pre- ___ infiltrations, which are not present in __ patients.
hilar
HIV
Lab results of pneumocystis patients may show __ increase, slight __, ABG ___.
LDH
leukocytosis
hypoxemia
__ is a good diagnostic tool. If it was not enough- __
BAL
biopsy
Pneumocystis ___ be cultured.
cannot
Treatment for pneumocystis include- ___. S/E include __ suppression, and rash in __ patients.
resprim- (TMP-SMX
BM
HIV
In light disease/ intolerance to the Abx of choice- __ +__ or __+__.
pentamidine IV + dapsone
clindamycin + primaquine
When should you add oxygen and steroids to the pneumocystis treatment?
PaO2< 70
Which patients should get preventive treatment using resprim?
HIV with CD4<200 or active candida
previous infection
Which Abx for pneumocystis may cause hemolysis in G6PD patients?
resprim
dapsone
primaquine
