- Case-Based Modules
- Initial Evaluation
- Dermatologic Manifestations
- Oral Manifestations
- OIs: Prophylaxis
- OIs: Treatment
- Antiretroviral Rx
- Antiretroviral Rx: Resistance
- Antiretroviral Rx: Adverse Effects
- Drug-Drug Interactions
- Postexposure Prophylaxis
- Perinatal Transmission
- Special Populations
- Prevention for Positives
- Challenging Unknowns
- Resource-Limited Settings
- Interactive Tutorials
- Routine HIV Screening
- Oraquick Advance Rapid HIV Test
- HIV Integration
- This program is funded through Health Resources and Services Administration, US Department of Health and Human Services.
Opportunistic Infections: Prophylaxis
Question | Discussion | References | CME Credit
Case 3: Prophylaxis for Mycobacterium avium complex
You answered:
 |
The patient's symptoms of weight loss and night sweats suggest he may possibly have disseminated MAC. Before prophylaxis against disseminated MAC is started, disseminated MAC infection should be ruled out. |
|---|
This answer is correct. The patient's constitutional symptoms and anemia suggest that he may have disseminated MAC. Accordingly, studies should be performed to rule out disseminated MAC before initiating prophylaxis, since single drug prophylaxis used in a patient with disseminated MAC could result in development of drug-resistant MAC. If blood cultures for MAC remain negative after several weeks, then prophylaxis against disseminated MAC prophylaxis should be started.
[Back to Case 3 Question | Proceed to Case 3 Discussion]
Copyright © 2004-2013 University of Washington