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Toxoplasmosis cerebri ec hiv - Coggle Diagram
Toxoplasmosis cerebri ec hiv
HIV clinical course
Clinical Latent Infection (Chronic HIV)
Symptomatic HIV infection
Primary Infection (Acute HIV)
Progression to AIDS
signs and symptoms
Sweating.
Chills.
Recurrent fever.
Chronic diarrhea.
Swollen lymph nodes.
Persistent white spots or unusual lesions on the tongue or mouth.
Constant and unexplained fatigue.
Weakness.
Weight loss.
Skin rash or bumps.
diagnosis HIV
ELISA (Enzyme-Linked ImmunoSorbent Assay) High sensitivity that is equal to 98.1-100%. Usually this test gives a positive result 2-3 months after infection.
3.PCR (Polymerase Chain Reaction)
CD4 and viral load
Western blot The specifications are high, namely 99.6-100%. The inspection is sufficient
difficult, expensive, and takes about 24 hours.
Management Hiv
1.Initial management can include preventing things from aggravating the situation, managing nutrition and risk factors
2.Antiretroviral drugs are drugs used for retroviruses such as HIV to inhibit viral reproduction. Antiretroviral drugs, namely AZT, Didanoisne, Zaecitabine, Stavudine.
Opportunistic infections drugs are drugs that used for diseases that arise as a side effect of damage immune. What is important for opportunistic treatment ie use drugs according to the type of disease, for example: anti-tuberculosis drugs, etc
opportunistic infection in hiv
Kandidiasis
3.Mycobacterium avium complex (MAC)
Cryptosporidiosis
Pneumocystis pneumonia (PCP)
pulmonary tuberculosis
6.Toksoplasmosis
manifestations of toxoplasmosis cerebral
focal symptoms
neurology
hemiparesis, hemiplegia, dysphasia, aphasia, dysarthria, visual disturbances, cranial nerve paresis, ataxia, dysmetry, movement involuntary (dystonia, chorea, athetosis and hemibalismus, Parkinson's)
neuropsychiatric disorders
dementia, anxiety, psychosis, personality disorders
lobal brain disorders
seizures, decreased consciousness , mood disordersand memory and global cognitive impairment (resembling AIDS dementia)
General Symp
lymphadenopathy, hepatosplenomegaly, intermittent or continuous fever, headache
weight, singulus (hiccups).
Management Toxo
The combination of pyrimethamine (200mg loading dose followed by 50mg daily for patients <60kg and 75mg daily for patients >60kg) and sulfadiazine (1000mg four times a day for patients <60kg and 1500mg four times a day for patients >60kg) is the preferred regimen for treatment. Initial therapy should be continued for 6 weeks and be followed by chronic maintenance therapy.
For patients intolerant to sulfadiazine can be given clindamycin 600 mg every 6 hours
