Patogenos oportunistas VIH Flashcards

1
Q

Patogenos oportunistas

A

P. jirovecii, t. gondii, m. tuberculosis, c. neoformans, c. immitis, H. capsulatum, CMV, varicella zoster, M. avium

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2
Q

VIH + Neumonia

A

Pneumocystis jirovecii

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3
Q

VIH + ritinitis

A

CMV

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4
Q

VIH + Datos focalizacion + lesiones redondeadas en forma de anillos que realzan con gadolinio

A

Toxoplasma gondii

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5
Q

VIH + Datos meningios

A

Criptococcos neoformans

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6
Q

VIH + Lesiones en anillo que se realzan en contraste

A

Toxoplasma

Linfoma No Hodgkin cel. B grandes

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7
Q

Indicacion para profilaxis para P. jirovecii

A

Linfocitos CD4 < 200, candidiosis orofaringea

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8
Q

Tratamiento profilaxis para P. jirovecii

A

TMP/SMX

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9
Q

Indicacion para profilaxis para toxoplasmosis

A

Linfocitos CD4 <100

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10
Q

Tratamiento profilaxis para toxoplasmosis

A

TMP/SMX, hasta CD4 >200 x 3 meses

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11
Q

Indicacion para profilaxis para M. tuberculosis

A

PPD > 5 mm, contacto cercano con un enfermo

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12
Q

Tratamiento profilaxis para M. tuberculosis

A

Isoniazida + Pirodixina x 9 meses + Aniterretroviral

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13
Q

Indicacion para profilaxis para C. Neoformans

A

CD4 <100

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14
Q

Tratamiento profilaxis para C. neoformans

A

Fluconazol

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15
Q

Indicacion para profilaxis para C. immitis

A

CD4 <250

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16
Q

Tratamiento profilaxis C. immitis

A

Fluconazol

17
Q

Indicacion para profilaxis para H. capsulatum

A

CD4 <150

18
Q

Tratamiento profilaxis H. capsulatum

A

Itraconazol

19
Q

Indicacion para profilaxis para CMV

A

CD4 <50

20
Q

Tratamiento profilaxis para CMV

A

Vanganciclovir o Ganciclovir

21
Q

Indicacion para profilaxis para M. avium

A

CD4 <50

22
Q

Tratamiento profilaxis para M. avium

A

Azitromicia o Claritromicina

23
Q

Agente terapeutico de primera linea para toxoplasmosis

A

Pirimetamina + Sulfadiazina

24
Q

Alternativas de tx para toxoplasmosis

A

Clindamicina, claritromicina, azitromicina

25
Q

Medicamento de inducción para C. neoformans

A

Anfotericina B + Flucitosina

26
Q

Efecto adverso de anfotericina B desoxicolato

A

Nefrotoxicidad

27
Q

¿Cuál anfotericina B no causa daño renal?

A

Anfotericina B liposomal

28
Q

¿Cómo se realiza el diagnostico de C. neofromans?

A

LCR :
tinta china (indian ink)
Cultivo
CrAg

29
Q

Tinción para pneumocystis y Legionella

A

Tinción argéntica