Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation
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CD4 Lymph Count and Associated
HIV Opportunistic Infections and Neoplasms in United States
|
CD4
Count
Cells/cumm |
Opportunistic infection or neoplasm
|
Freq
% |
>500
|
Polydermatomal herpes zoster |
5-10
|
200-500
|
Mycobacterium tuberculosis |
2-20
|
|
Oral hairy leukoplakia |
40-70
|
|
Thrush (Candida pharyngitis) |
40-70
|
|
Candid vaginitis |
15-30
|
|
Kaposi sarcoma (male) |
15-30
|
|
Recurrent bacterial pneumonia |
15-20
|
|
Cervical carcinoma |
1-2
|
100-200
|
Pneumocystis carinii
pneumonia |
15-60
|
|
Herpes simplex, chronic
ulcerations |
5-10
|
|
Histoplasmosis capsulatum
(disseminated) |
0-20
|
|
By knowing the CD4 count, you can help prevent
expected infections. Start them profolactically on:
- Septra to prevent PCP and toxoplasmosis
- Acyclovir to prevent herpes
- Possibly even an antifungal
CD4
counts continued
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