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Case 1: Prophylaxis for Pneumocystis Pneumonia

You answered:

B The patient does not need Pneumocystis pneumonia prophylaxis; he should start prophylaxis if his CD4 count decreases to less than 200 cells/mm3

This answer is incorrect. Although this patient's CD4 count is greater than 200 cells/mm3, he has two indications to receive Pneumocystis pneumonia prophylaxis: oral candidiasis and an AIDS-defining illness (two or more episodes of bacterial pneumonia in a 1-year period is an AIDS-defining illness).

Choose another answer:

A This patient should receive Pneumocystis pneumonia prophylaxis, but prior to initiating prophylaxis, a sputum sample should be sent to perform Pneumocystis jiroveci resistance testing.
C The patient should start on Pneumocystis pneumonia prophylaxis using trimethoprim-sulfamethoxazole at a dose of one double strength tablet per day.
D The patient should receive Pneumocystis pneumonia prophylaxis, but first should undergo bronchoscopy to rule out active Pneumocystis pneumonia prior to receiving prophylaxis.

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