A 45-year-old man with HIV infection on antiretroviral therapy has a CD4 count of 80 cells per microliter and undetectable viral load. He has not rece...

Question

A 45-year-old man with HIV infection on antiretroviral therapy has a CD4 count of 80 cells per microliter and undetectable viral load. He has not received prophylaxis against opportunistic infections. According to current guidelines, which prophylactic regimen is indicated?

Accepted Answer

Azithromycin weekly for Mycobacterium avium complex

Answer

Trimethoprim sulfamethoxazole daily for Pneumocystis jirovecii and Toxoplasma gondii

Answer

Fluconazole for cryptococcal meningitis

Answer

No prophylaxis is needed because viral load is undetectable

Answer

Isoniazid prophylaxis regardless of tuberculosis exposure or testing

us-abim MCQ (SBA): Opportunistic infection prophylaxis in HIV

A 45-year-old man with HIV infection on antiretroviral therapy has a CD4 count of 80 cells per microliter and undetectable viral load. He has not received prophylaxis against opportunistic infections. According to current guidelines, which prophylactic regimen is indicated?