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

[ArchivalUser]

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?

[ArchivalUser]

fluconazole
lanosterole enzyme inhibitor

[ArchivalUser]

candida??

[ArchivalUser]

PJP...???

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

am i right?

[ArchivalUser]

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

[ArchivalUser]

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

[ArchivalUser]

well i see a lot of circles too

[ArchivalUser]

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

[ArchivalUser]

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

[ArchivalUser]

Candida (filaments and budding cells)


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