Primary Care for HIV-Infected Patients in Resource-Limited Settings

  • Authors: Charles van der Horst, MD; F. Parker Hudson, MD (More Info)
  • Editors in Chief: Daniel R. Kuritzkes, MD; Joseph J. Eron, Jr., MD
  • Last Reviewed: 9/4/18 (What's New)

Summary

  • Cryptococcal meningitis should be suspected in patients with advanced HIV infection who present with features of meningitis
  • WHO recommends diagnosis of cryptococcal disease by rapid CSF or serum cryptococcal antigen (Management Guidelines)[WHO Crypto]
  • Screening for cryptococcal infection before ART initiation in patients with CD4+ cell counts < 100 cells/mm3 prevents early mortality and is cost effective[Meya 2010; Jarvis 2013]

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