USMLE Forum - Largest USMLE Community

Pt , an immigrant with AIDS is admitted with pneumonia---AFBX3 is negattive---* days lter, culture showa growth but non0tuberculosis. Pt was given HAART in hosp. since CD<80. Addition of which drug would have prevented this culture result////
A=clarithro dialy
B--INH x 9 mth
C---pentamidine aero
D--fluconazole
E--tmp-smx

is it E or B?

i think AAAA

Mycobacterium avium intracellulare is non-tuberculous mycobacterium, and fairly resistant to anti TB drugs, but sensitive to macrolides, both azithro and clarithro

A.

i am torn between A and D!!!

my final answer: D

just because CD4 count is 80...

when CD4 count drops below 100 oppurtunistic fungal infections risk increases....

corect ans. is Aaaaaaaaaaa