RT @JakeJohnsonMD: Day #3(🦃) Learning: One change recently in HIV care is primary prophylaxis for MAC (historically CD4<50) is no longer re…
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Day #3(🦃) Learning: One change recently in HIV care is primary prophylaxis for MAC (historically CD4<50) is no longer recommended. Incidence in pts who are virally suppressed is extremely low (~0 in some series). IAS-US guidelines @PaulSaxMD @RMKGandhi
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Let's break down the above diagnoses: DMAC: often p/w fevers, night sweats, weight loss, and GI Sx (abd pain, diarrhea,🔺alk phos). Abd LAD may also be present on imaging. Beware if CD4<50 (but remember - no routine prophy if starting ART! See https:/
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RT @jjcrazydiamond: さらっと読んだ ・InSTI押しから更にfirstがBictegravir(BIC) or DTGに ・ART開始していればMAC一次予防は推奨しない(PCP一次予防はやる) ・DTGの催奇形性報告に関連しこれがInSTIのClass e…