An HIV+ patient with CD4 count of 47 cells/mL presents with diarrhea. Acid fast oocysts are found in the stool. From this finding, what is the proper care and prognosis with that care?
Cryptosporidium parvum. Protozoan parasite, which is considered to be the most common cause of diarrhea in AIDS. Dx- Acid-fast oocysts in the stool by performing modified ZN staining. Rx- Azithromycin, Spiramycin, Paromomycin and Nitazoxanide Other causes of diarrhea in AIDS are Isospora bellii, Cyclospora cayatenensis, and Microsporidia. If CD 4 Count <50 cells/mL -Even with the best treatment, the infection may be unrelenting
Infection is sho lasting and self-resolving and requires no treatment
If treated with antibiotics, the infection should resolve in 3-6 days
Infection will only resolve with antituberculous drugs and then it may take weeks
Even with the best treatment, the infection may be unrelenting
Parasitology Pa 1 (Protozoology)