Candidiasis

Clinical Info HIV

• Overview of management of candidiasis as an opportunistic infection including diagnosis, expected presentation and treatment recommendations

1. What is the most common organism responsible for candidiasis in an HIV patient? 

a) Aspergillus flavus 

b) Candida albicans 

c) Candida glabrata 

d) Candida krusei 

2. Candidiasis most often occurs with a CD4 count of: 

a) <50 cells/ mm³ 

b) <100 cells/ mm³ 

c) <200 cells/ mm³ 

d) <500 cells/ mm³ 

3. Which of the following is a typical symptom of esophageal candidiasis? 

a) Painless, white lesions in mouth 

b) Retrosternal burning 

c) Lesions that can be easily scraped away 

d) Painful, white lesions in mouth 

4. True or false: Primary prophylaxis for candidiasis is recommended in patients with CD4 count <200 cells/ mm³? 

a) True

b) False

5. A patient with HIV presents with painless white lesions in their mouth which can be easily scraped away. What is the recommended first line treatment option? 

a) Fluconazole 100 mg PO daily x 1 weeks 

b) Fluconazole 100 mg PO daily x 3 weeks 

c) Fluconazole 100 mg PO 3 times weekly until CD4>200 cells/ mm³? 

d) Fluconazole 150 mg PO daily x 1 dose