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

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.

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

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

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.

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

Family History: No history of Chronic illness in the family

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

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

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

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

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