A 40-year-old refugee from South Sudan presents with a febrile illness and hepatosplenomegaly. He is diagnosed with VL. He is also HIV-positive with C...

Question

A 40-year-old refugee from South Sudan presents with a febrile illness and hepatosplenomegaly. He is diagnosed with VL. He is also HIV-positive with CD4 75 cells/µL. What additional long-term treatment is required after initial VL therapy?

Accepted Answer

Secondary prophylaxis with monthly liposomal amphotericin B (3-5 mg/kg) until CD4 >200 cells/µL on ART, to prevent VL relapse

Answer

No additional treatment

Answer

Weekly chloroquine

Answer

Daily fluconazole for life

Answer

Annual praziquantel

uk-dtmh MCQ (SBA): VL Secondary Prophylaxis in HIV

A 40-year-old refugee from South Sudan presents with a febrile illness and hepatosplenomegaly. He is diagnosed with VL. He is also HIV-positive with CD4 75 cells/µL. What additional long-term treatment is required after initial VL therapy?