HIV (Human Immunodeficiency Virus)
(Last Updated - 7/22/2007)
-Signs / Symptoms When Untreated:
-Dry Skin
-Chronic Fatigue
-Night Sweats
-Weight Loss
-Lymphadenopathy
-~50% of patients HIV+ will progress to AIDS w/in 10 yrs.
-CD4 : CD8 Ratios:
-Normal --> ~1.5 : 1
-HIV --> 1 : 1.5-2
-CDC Classification:
-Based on lowest CD4 count
CD4 Count
Asymptomatic (A)
Symptomatic (B)
AIDS-Defining Illness (C)
> 500
A-1
B-1
*C-1
201-500
A-2
B-2
*C-2
< 200
*A-3
*B-3
*C-3
* - Indicates AIDS
-Category B Conditions:
-Bacillary Angiomatosis
-Thrush
-Vulvovaginal Candidiasis - persistent, frequent, poorly-responsive to therapy or resistant to therapy
-Cervical Dysplasia
-Cervical Carcinoma In Situ
-Constitutional Symptoms
-Oral Hairy Leukoplakia
-Herpes Zoster (2 episodes or >1 dermatome)
-Idiopathic Thrombocytopenic Purpura (ITP)
-Listeriosis
-Pelvic Inflammatory Disease (PID)
-Peripheral Neuropathy
-Health Maintenance:
-PPD: QYear
-Pneumovax: Q6Years
-Prophylaxis:
-PCP:
For CD4 < 200 --> Trimethoprim / Sulfamethoxazole (Bactrim) (DOC)
-MAI:
For CD4 < 50 --> Azithromycin (DOC)
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References: