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Treatment of Opportunistic Infections Associated with Human Immunodeficiency Virus Infection 

Treatment of Opportunistic Infections Associated with Human Immunodeficiency Virus Infection
Chapter:
Treatment of Opportunistic Infections Associated with Human Immunodeficiency Virus Infection
Author(s):

David B. Clifford

DOI:
10.1093/med/9780195399349.003.0069
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date: 23 May 2019

The advent of HIV challenges clinicians to enhance their understanding of opportunistic infections (OIs) that were encountered only rarely in the pre-HIV era. This chapter discusses the treatment of those OIs of the nervous system that are uniquely increased in the setting of HIV. The chapter focuses specifically on those infections that are most common in the developed world; some less common infections are not considered. In thinking about these OIs, it must be remembered that HIV-infected patients are subject to the full range complications and illnesses, not only those that are uniquely prevalent among HIV patients. Therefore, restricting the differential diagnosis to uniquely HIV-associated complications is inappropriate. Furthermore, in the immunosuppressed population, it is common for several complications to occur simultaneously. Thus, unlike in the assessment of the non-immunosuppresed patient, seeking a single parsimonious diagnosis without equally searching for two or more simultaneously occurring complications is to invite error.

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