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AIDS with dyspnea..........q? - jamebond - Printable Version

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AIDS with dyspnea..........q? - jamebond - ArchivalUser - 09-26-2011

Underlying HIV presents with dyspnea, cough, fever
Bronchioalveolar lavage was done as shown
http://img716.imageshack.us/img716/263/aids044.jpg

What is the tx of choice and mechanism of action of this drug?


0 - ArchivalUser - 09-26-2011

fluconazole
lanosterole enzyme inhibitor


0 - ArchivalUser - 09-26-2011

candida??


0 - ArchivalUser - 09-26-2011

PJP...???

TMP-SMX .....SMX inhibits dihydropteroate synthetase....TMP inhibits Dihydrofolate reductase...

am i right?


0 - ArchivalUser - 09-26-2011

pjp will have circles not threads....???


0 - ArchivalUser - 09-26-2011

whats your dx ashlin...im not sure abt my answer


0 - ArchivalUser - 09-26-2011

well i see a lot of circles too Big Grin


0 - ArchivalUser - 09-26-2011

This is BAL with toludine Blue O stain and that is why is purple color and that is done for th efrmer PCP an dnow jiroveci.With that being said the RX is....
Antonella


0 - ArchivalUser - 09-26-2011

Those round like looking coins are the pneumocys.jirvoci cysts .
A


0 - ArchivalUser - 09-26-2011

Candida (filaments and budding cells)


-P.jiroveci is Yeast-like (single cell round to oval)