HY Concept 231

[tommyk]

You are shown a sllide of the horrible Pneumocystis carinii in an HIV patient.

1) What is the lung X-ray classic finding?
2) Method of infection
3) Drug of choice?
4) When should prophylaxis have BEEN STARTED? KEY POINT, give T-cell count (hint )

[tommyk]

1) Perihilar interstitial infiltrates

2) Inhalation of cysts

3) Trimethoprim-sulfamethoxazole (Bactrim, Septra, Co-trimoxazole)

4) Probably CD4 count less than 200 and not on PCP prophylaxis.