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Infectious Disease > Opportunistic infections > Flashcards

Opportunistic infections Flashcards

1
Q

when do they occur?

A

HIV/transplant/immunosuppressed

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2
Q

Mucocutaneous cadidisisis clinical

A

cd4<200, oropharyngeal/esophageal. thrush> white plaques. Fungus

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3
Q

Mucocutaneous cadidisisis diagnosis

A

visual, or response to treatment

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4
Q

Mucocutaneous cadidisisis treatment

A

topical or oral fungal (fluconazole)

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5
Q

Pneumocystis Pneumonia clinical

A

cd4< 200, progressive dyspnea, non productive cough. lungs may sound abnormal, maybe not.

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6
Q

Pneumocystis Pneumonia diag

A

induced sputum, Xray: hilar interstitial fluid, patchy ground glass.

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7
Q

Pneumocystis Pneumonia treat

A

21 day bactrim and prednisone.

Prophylais CD4<200, thrush or other aids illness: bactrim

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8
Q

Cryptococcal meningitis clinical

A

meningitis, pulmonary nodules, disseminated. breathed in

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9
Q

Cryptococcal meningitis diag

A

spinal fluid, OP>250, antigen (serum or CSF), india ink

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10
Q

Cryptococcal meningitis treatment

A

IV and oral anti fungal. Long long course. brain shunt may be needed

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11
Q

Cryptococcal meningitis prophylaxis

A

no primary, secondary if asymptomatic with normal labs

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12
Q

Cryptococcal meningitis IRIS

A

30 % with ART!!!

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13
Q

MAC: Mycobacterium Avium Intracellular Complex clinical

A

inhaled/injested: fever, night sweats, lymph, anemial

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14
Q

MAC: Mycobacterium Avium Intracellular Complex diag

A

blood isolated (takes weeks)

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15
Q

MAC: Mycobacterium Avium Intracellular Complex treat

A

oral combo. macrolide, and ethambutor

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16
Q

MAC: Mycobacterium Avium Intracellular Complex proph

A

primary if CD4<50, azythro, 2nd after 1 year

17
Q

MAC: Mycobacterium Avium Intracellular Complex complication to treat

A

IRIS

18
Q

toxo clinical

A

cerebral access. REACTIVATION

19
Q

toxo clinical

A

IgG seropositive, PCR, MRI- ring lesion

20
Q

toxo treat

A

combo/sulfa/pyrimidine/sterioids

21
Q

toxo pro

A

bactrim, CD4<100 and seropositive

22
Q

CMV

A

see herpes! but retinitis, CD4<50

Infectious Disease (29 decks)

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