A 41-year-old man with newly diagnosed HIV has CD4 count 118/mm3 and HIV RNA 85,000 copies/mL. He has no sulfa allergy. Toxoplasma IgG is positive.

Question

A 41-year-old man with newly diagnosed HIV has CD4 count 118/mm3 and HIV RNA 85,000 copies/mL. He has no sulfa allergy. Toxoplasma IgG is positive. He is starting antiretroviral therapy. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Start trimethoprim-sulfamethoxazole prophylaxis

Answer

Start azithromycin monotherapy for Pneumocystis prophylaxis

Answer

Delay antiretroviral therapy for 2 years

Answer

Give live varicella vaccine today

Answer

Use fluconazole for Pneumocystis prevention

HIV opportunistic infection prevention — USMLE Step 3 MCQ

A 41-year-old man with newly diagnosed HIV has CD4 count 118/mm3 and HIV RNA 85,000 copies/mL. He has no sulfa allergy. Toxoplasma IgG is positive. He is starting antiretroviral therapy. Which of the following would you recommend at the follow-up visit?