Doctor insights on:
Aids And Infections Toxoplasmosis
No, HIV causes AIDS: Human immunodeficiency virus (HIV) is the virus that causes progressive destruction of the immune system, which can lead to acquired immune deficiency syndrome (aids). As the immune system declines, a person can get one of 20+ opportunistic infections associated with aids. A person can also have aids if their cd4 or t-cell count (marker of immune function) is. ...Read more
Infections are invasions of some other organism (fungus, bacteria, parasite) or viruses into places where they do not belong. For instance, we have normal gut bacteria that live within us without causing problems; however, when those penetrate the bowel wall and enter the bloodstream, ...Read more
Yes: In addition to causing aids, we now know that HIV also increases chronic inflammation and immune activation, which can increase the risk of complications like coronary heart disease, malignancies, decreased bone density, and cognitive dyfunction. There is a lot of interest now in HIV as a cause of earlier complications of the aging process. ...Read more
HIV testing: There are several HIV tests. We usually check what is called an elisa blood/oral test. It's very sensitive & specific but misses early, early infection (<15-20 days). In us we confirm a + elisa w/a test called a western blot (looks for HIV specific proteins). Other countries just use elisa x2. For acute HIV infection we measure viral RNA in blood. Can be falsely + so needs expert evaluation. ...Read moreSee 1 more doctor answer
Yes: Co infection with hepatitis b or hepatitis c ( that is having HIV and either of the above) is documented to generally result in further progression of both diseases. Therefore, patients with either illnesses must be screened to rule out co infection... Treatment is encouraged for both viral illnesses. New treatments are available for hepatitis c. ...Read more
yeasts: I don't think that yeast infections are spread by oral sex. Yeasts are everywhere in the environment around us. A yeast infection of the female reproductive tract normally occurs when the normal flora balance is disturbed, usually after a round of antibiotics. ...Read moreSee 1 more doctor answer
Can a pap smear detect the most common std's like chlamydia, genital herpes, HIV infection, gonorrhea, syphilis, trichomoniasis and hepatitis b?
In the USA?: Here in the us, about 1.2 million people have hiv, and about 5 million people have hepatitis c. Each year, about 50, 000 people are newly infected with hiv, and at least 20, 000 people get hcv (this number could be a lot higher, we are not sure). In the 1960-1980's, about 250, 000 people a year got hcv because of contaminated blood transfusions, drug use, etc. So it is lower now but still should be 0. ...Read more
Not quantified: Secondary bacterial infections are common enough to make most of the lists of complications of ebv that leads to infectious mononucleosis, but i could not find that a case rate had been published at this time (i.e. A percentage of cases that develop secondary infections). The illness does cause relative immune compromise through splenic inflammation and neutropenia in some cases. ...Read moreSee 1 more doctor answer
Why can opportunistic infections may increase the risk of malnutrition in the patient with HIV / aids?
Multiple reasons: Infections generate the release of cytokines which suppress appetite; some opportunistic pathogens (giardia, cryptosporidium, CMV and others) may actually cause malabsorption resulting in malnutrition and vitamin deficiencies. There is also a wasting syndrome in aids, the full etiology of which is not yet fully understood. ...Read more
If I am suffering from rubella virus infection, and CMV infection, than chances of HIV infection is how much?
Possibly: This could be a sign of aids developing from HIV itself. Could be 'final stage' if no longer responding to haart (anti-viral treatments) which should help prevent most opportunistic infections once the HIV viral load is suppressed. If otherwise stable most of these infections have specific treatment options. ...Read moreSee 1 more doctor answer
HIV+ complications: Hi there should be zero opportunistic infections if one is on effective HIV treatment. This is the miracle of this decade. Good care and appropriate medications lead to prolonged health and longer life. But, without treatment there are the standards: thrush, pneumocystis, shingles, severe herpes, lymphoma, meningitis, etc. ...Read more
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