This patient came to me with symptoms of difficulty in swallowing and burning sensation in the upper chest area. He was a known hiv positive patient and was taking treatment at ART centre of one of the government hospitals.
though he on hiv treatment he was not taking his medicines regularly which led to treatment faliure.
he was admitted in our hospital and was evaluated with hiv viral load cd4 and endoscopy.
his cd4 was 98 viral load was 2,34900 and upper GI endoscopy showed extensive candidiasis.
patient was started on iv fluconazo twice a day and was counselled and was started on second line ART drugs.
patient recovered from fungal infection and was monitored for adherence to ART TREATMENT.
AFTER 6 months his cd4 count improved to 340 and viral load was undetectable.
1) ORAL AND ESOPHAGEAL CANDIDIASIS IS VERY COMMON OPPERTUNISTIC INFECTION IN HIV.
2) ADHRERING TO ART (meaning taking medication regularly with out giving gap)
IS VERY MUCH NECESSARY TO HAVE GOOD TREATMENT RESPONSE.
3) THOSE WHO DONOT TAKE TREATMENT REGULARLY WILL HAVE POOR RESPONSE TO ART WHICH WOULD LEAD TO DRUG FALIURE.