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Old 03-15-2012
dr.dhruvdesai's Avatar
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Drug Treatment of choice for Pneumocystis jiroveci

Guys,

FOR p.jirovecci pneumonia

best prophylaxis?

best treatment ?

what are the answers ?

coz i found really confusing materials
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Old 03-15-2012
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TMP-SMX oral is best prophylaxis, given when CD4 is less than 200.
TMP-SMX is best treatment for mild PCP
TMP-SMX+Steroids is best treatment for severe PCP
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Old 03-16-2012
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Quote:
Originally Posted by tyagee View Post
TMP-SMX oral is best prophylaxis, given when CD4 is less than 200.
TMP-SMX is best treatment for mild PCP
TMP-SMX+Steroids is best treatment for severe PCP
TMP-SMX is also tx, we add steroids when pt po2 less then 70 or A-a gradient more then 35, means its severe pcp.
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Old 03-16-2012
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and dont confuse it with Toxoplasmosis where
TMP-SMX is Prophylaxis.
Sulfadiazine/Pyrimethamine is Treatment.
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dr.dhruvdesai (03-16-2012), pkul85 (12-01-2013), stfidel (03-16-2012)



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Infectious-Diseases, Pulmonology-

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