Opportunistic Infections in HIV/AIDS Patients:

1. Opportunistic Infections in HIV/AIDS Patients: By Yoster Yichiro MO., DCHMS HIV/AIDS physician, Chuuk Hospital

2. OPPORTUNISTIC INFECTIONS IN HIV/AIDS PATIENTS • 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.

3. History of Present Illness: • Age=28 • Sex=female • Residence=Chuuk • Time of infection =1999/2000

4. Problems: • Red eye • Blurry vision • Slight headaches • Intermittent watery stool (chronic) • Weight loss • Lethargy • Low grade fever

5. Case • 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.

6. Past medical History: • Admitted once for chronic diarrhea to medical ward • No history of known drug allergy.

7. Family History: • No history of Chronic illness in the family

8. Social History: • Married (widow) • Three siblings died mysteriously. • Work in a retail store • She does not smoke • She does not drink alcohol • No drug use

9. Examination: • Thin • Oral thrush • Chronic nasal congestion • Cornea cloudy and hazy • impaired visual acuity • Crackles • Skin rash • Vaginal discharges with foul smell • Muscle wasting

10. Laboratory findings: • 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

11. IMPRESSION: • GASTROENTERITIS • CHRONIC CONJUCNTIVITIS • HIV (+) • AIDS • WASTING SYNDROME • ORAL CADITIASIS • CERVISITIS • VITAMIN A DEFICIENCY

12. MANAGEMENT • 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