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Success Stories


A CASE OF TUBERCULOSIS

i am a hiv positive patient from warangal i have consulted dr ajay when i had recurrent fever which did not respond to many treatments taken in other hospitals.

he examined me and got some tests done .i  was diagnosed as having pulmonary tuberculosis.i was treated with anti TB drugs and ANTI RETROVIRAL DRUGS USED FOR TREATING HIV positive patients.

my cd4 count was 56 at the time of diagnosis and my viral loadwas 2,44000.

after 6momths of taking treatment my cd4 count improved to 340 and my viral load is now less than 20.

i am now healthy and got cured of tuberculosis and i am now only on ART treatment.

 

KEY POINTS:

1)TUBERCULOSIS IS THE MOST COMMON OPPERTUNISTIC INFECTION IN HIV POSITIVE PATIENTS.

2) IIT OCCURS INABOUT 80 TO 90 % OF HIV POSITIVE PATIENTS.

3) IT ISTHE MOST COMMON CAUSE OF DEATH OCCURING IN HIV POSITIVE PATIENTS.

4)IT CAN OCCUR EVEN AT CD4 COUNTS OF OVER 500 SO IT IS NECESSARY TO START HIV TREATMENT EARLY TO AVOID TB INFECTIONS IN HIV.

CASE of PCP PNEUMONIA

Since most patients with hiv have confidentiality issues because of stigma attached to hiv we have had tough time in getting admission in hospital because manyhospitals donot admit hiv positive patients.

this  case is about a patient from nalgonda who came with severe  brethlessness ,cough and fever since 5 days  and was admitted in our srinivasa Hospital .

she was investigated and was found to have PCP pneumonia on chest x ray and her cd4 was 82 and viral load was 1,82000.

she was treated as inpatient in the  hospital for 1 week with oxgen support in icu and antibiotics and was started on ANTI RETROVIRAL DRUDS. she was dicharged on 8th day and was oncontinuous anti hiv treatment.

her cd4 cont after 6 months is 375 and viral load was undetectable.she is now healthy, active  and working.

KEY POINTS:

IN LATE STAGES OF HIV/AIDS PCP PNEUMONIA IS A VERY COMMON LUNG INFECTION CAUSING HIGH DEATH RATES IF NOT RECOGNISED AND TREATED IN THE EARLY STAGE.

a case cryptococcal meningitis

This patient came with complains for headache and vomitings since 1 week which did not subside with diiferent medications prescribed by various doctors.

he was admitted in our hospital and was evaluated for headache by CT SCAN brain and then lumbar puncture and csf analysis and other routine tests.

his cd4 count was 57 and viral load was 3,45000 at the time of admission. 

his ct scan was normal but his csf analysis showed cryptococcal antgen positive and indian ink stain also showed cryptococci.

patient was stated on amphotercin was on that medication for 2 weeks.his headache subsided after 3 days .

he was started  on ART AFTER 2weeks and was dicharged on 13th day and was kept on fluconazole maintainance therapy

he was on regular follow up and after 6 months his cd4 count is 284  and viral load was undetectable.

KEY POINTS:

1) CRPYTOCOCCAL MENINGITIS is one of the most common oppertunisticinfections whose cd4 counts are less than 100.

2) has high mortality if not treated early.

 

a case of fungal infection

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.

KEY POINTS:

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.

 

A case of herpes zoster

This patient came with  skin lesions involving hand  and these lesions were seenin clusters with clear fluid inside them.

patient was unaware of his hiv status.since these lesions were suggestive of herpes and since these skin infections commonly occur in stage 2 of hiv we tested the patient for hiv and it came positive.

patient was counselled and CD4 Testing was done and his CD4 was 384.

Patient was started on hiv treatment and his herpes was treated with acyclovir.

patient is now on ART and stable.

KEY POINTS: 

Herpes infection is common in  HIV patients.

It can occur over face trunk or upper limbs.

If not treated early can lead lead to neuropathy and its attended complications.

If a patient gets herpes infection they should be screened for HIV infection.