The health care provider ordered an HIV test based on the patient’s narrative and his positive TB status. Tuberculosis infection is frequently an initial indication of HIV infection. Therefore, it is routine to test patients with TB for HIV. Also, the patient complains of being run-down and sick all of the time, which could be a sign that his immune system is impaired.
The presence of any other opportunistic infections or malignancies may also be indicative of HIV. Opportunistic infections occur when typically harmless microorganisms are able to cause disease in individuals who are immunocompromised. Common opportunistic infections in HIV-positive patients include: Pneumocystis jiroveci pneumonia, candidiasis, toxoplasmosis, diarrhea caused by Cryptosporidium parvum, progressive multifocal leukoencephalopathy (PML) caused by the JC virus, and many others. Kaposi sarcoma, an opportunistic malignancy, is a major indicator of HIV infection. This cancer occurs only in individuals who are severely immunocompromised and manifests as lesions on the skin and mucous membranes.
Mr. A’s statement reflects the need for further education about HIV transmission. The nurse should inform Mr. A that HIV is primarily spread through unprotected sexual intercourse and by sharing contaminated needles for intravenous drug use. Individuals engaging in risky sexual behaviors (e.g. unprotected anal intercourse) are at highest risk for contracting HIV, regardless of sexual orientation. The nurse
Specific skin cancers including Kaposi's Sarcoma and lymphomas also happen in patients who are HIV positive” (Mayo Clinic, 2013).
Semen containing white blood cells infected with HIV comes into contact with tissue in the rectum and vagina. The virus can then enter the bloodstream of the host through perforations in the tissue surface. The risk of this happening is greatest in anal intercourse, either between two men or a man and a woman.” HIV is spread through a direct exchange of blood or blood products. This mode of transmission is most frequent among IV drug users who share injection needles. It includes, as well, hemophiliacs and other persons who receive blood transfusions, and fetuses of mothers who carry the AIDS virus.” AIDS has sparked considerable interest and controversy since the start of the epidemic. However, in trying to identify where AIDS originated, there is a danger that people may try and use the debate to attribute blame for the disease to particular groups of individuals or certain lifestyles. When the AIDS epidemic became offical in June 1981, it was widely considered exclusively a "gay disease” and this was because many people were confused and uneducated about this new, foreign disease that faced and ravaged our society as a whole. There is no doubt that many people coming from all walks of life were subject to discrimination when other people discovered that they were suffering as victims taken by the disease. The cultural and social response to AIDS portrayed in the film Philadelphia (1993) covered all of these aspects and was
HIV is communicable disease that is caused by virus. This particular virus attacks the immune system which means people who suffer from HIV find it more difficult to fight of infection than the average person who does not suffer from HIV. This disease can be transmitted by direct contact, generally it is transferred by sexual contact between partners in fact 95% of those who suffer from HIV are contracted it this way. It can also be contracted by using dirty needles or any other contaminated tool. It can also be contracted by sharing sexual toys. HIV is commonly found in a person’s bodily fluids this means it is spread through, Sperm, vaginal and even anal fluids, breast milk and blood are also common.
There are many health problems that we face globally and each of them are important for us to be aware of and to take precautions and measures to prevent and treat such diseases that affect our global population. HIV/AIDS is a disease that is spread through direct contact with body fluids from a person who is infected with the virus, these fluids include blood, semen, rectal fluid, vaginal fluids and breast milk. There are an approximate 35 million people living with the disease globally as of 2015 and about 1 million of those people are children under the age of 15 (Aids.gov, 2016). There are approximately 1.2 million people in the U.S. living with the disease and of those individuals many became infected with HIV by needle or syringe sharing,
HIV is a virus that can lead to AIDS. Patients infected with HIV often shows no symptoms until the disease has progressed to AIDS. HIV is transmitted through bodily fluids, but cannot be transmitted through casual contact. Most commonly, HIV is transmitted through sexual contact. It may be transmitted through blood-to-blood contact, such as needle sharing or accidental needle sticks in a healthcare setting. It may also be transmitted during pregnancy or birth from mother to child. It cannot be transmitted through casual contact such as hugging, playing sports or touching something that was touched by someone infected (CDC, n.d).
K.D. is a 36-year-old gay professional man who has been human immunodeficiency virus (HIV) positive for 6 years. Until recently, he demonstrated no signs and symptoms (S/S) of acquired immunodeficiency syndrome (AIDS). The appearance of purplish spots on his neck and arms persuaded him to make an appointment with his physician. When he arrives at the physician’s office, the nurse performs a brief assessment. His vital signs (VS) are 138/86, 100, 30, 100.8° F. K.D. states that he has been feeling fatigued for several months and is experiencing occasional night sweats, but he also has been working long hours, has skipped meals, and has been particularly stressed over a project at work. K.D.’s physical examination is within normal limits (WNL) except for his rapid heart rate and respirations, low-grade fever, and skin lesions. The doctor orders a chest x-ray (CXR), CBC, lymphocyte studies, ultra viral load, Cytomegalovirus (CMV) assay, and a PPD (purified protein derivative) test. K.D. made an appointment
The use of contaminated needles can also transmit HIV. “The risk of HIV transmission needs to be addressed in two very different populations—healthcare workers and
HIV, or Human Immunodeficiency Virus, is an autoimmune disorder. HIV is commonly spread through the shared use of needles and is
Although the aforementioned symptoms are suggestive of IM, a subset of infected patients may be asymptomatic (e.g., subclinical IM) or their symptoms may be attributable to other illnesses such as acute HIV, cytomegalovirus or Lambert-Eaton myasthenic syndrome.1 In order to differentiate IM from other illnesses, diagnostic tests such as the mono-spot assay or EBV-specific antibodies should be
Primary HIV infection is the first stage and only lasts for a few weeks. Flu-like illnesses may be present during this stage. The second stage is known as clinically asymptomatic stage and typically lasts for an average of ten years. Although major symptoms might not exist during this stage, the HIV-positive person may experience swollen glands. Symptomatic HIV infection is the third stage. As the immune system continues to fail, symptoms surface and become miniscule at first then later leading to more prevalent symptoms. This third stage is generally caused by illnesses, involving cancers and infections, which the immune system would normally fight off but is not able to because the immune system is too weak. Finally, AIDS, Acquired Immune Deficiency Syndrome, develops and is the final stage of HIV. A person is diagnosed with AIDS when they show the symptom called an opportunistic infection. This is when infections take advantage of the weakened immune system. HIV leads into life threatening AIDS and causes the infected individual to feel escalating amounts of pain such as neurotic pain, tremendous headaches, gastrointestinal pain, chest pain, and even emotional pain such as depression. This pain can be intense enough to cease the individual from living a productively normal life. HIV and AIDS can strike anyone at any point in their life and should be taken seriously.
There are two different types of tests that are used to determine if there is TB in the body. The first test is the TB skin test (TST) and the second one is TB blood test. A positive TB skin test or TB blood test only discloses if a person has been infected with TB bacteria. It does not tell whether the person has latent TB infection (LTBI) or has progressed to TB disease. Further testing, such as a chest x-ray and a sample of sputum (mucus), is necessary to see whether the person has TB disease. (https://www.cdc.gov/tb/topic/basics/tbinfectiondisease.htm)
False-negative results might occur in certain populations — including kids, older individuals and other people with AIDS — United Nations agency typically do not answer the TB skin test. A false-negative result also can occur in individuals who've recently been infected with TB, however whose immune systems haven't yet reacted to the bacterium.
Genitourinary TB may be based on clinical symptoms, urinalysis and lab tests (immunological and microbiological criteria). Even ultrasound assessment can help physicians in diagnosis (19).
The TB skin test is a broadly utilized test for diagnosing TB. In nations with low rates of TB, it is frequently used to test for inert TB disease. The issue with utilizing it in nations with high rates of TB contamination is that the greater part of individuals may have inactive TB.
TB is caused by a bacterial infection known as mycobacterium tuberculosis. If a patient is sick with TB is considered a disease. The infection is prevalent in the HIV population because approximately 13 million Americans are effected by the TB bacteria. It typically involves the lungs but can also affect the brain and other organ systems. The TB germ is airborne and can live in the air for several hours. Once an affected person coughs or sneezes another person breathes in the germ and becomes infected. A patient with TB and HIV/AIDS will have to take an antibiotics long term to battle the infection. They will have to go through two phases of medication. The initial phase consists of utilizing drugs such as isoniazid, pyrazinamide, rifamycin, and ethambutol for the first couple of months. Then the patient will enter into the continuation phase, during this phase the patient will take the isoniazid and rifamycin for approximately four months. HIV patient’s that are taking antiretroviral for the HIV will have to take the antibiotics longer. A person taking treatment for TB has to be careful because the antibiotic can cause liver damage. According to the CDC, roughly 6% of all TB cases are from patients with HIV or AIDS. In 1992 the United States had a dramatic increase in TB cases but has decreased ever since. Recently a group of researchers at John Hopkins