Treatment and Monitoring
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation
 

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                 Back

 

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