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Post antibiotical anal candidiasis with low CD4
Oct 16, 2011

Hello. In the last year, I suffered 2 episodes of anal candidiasis (lasting 2 weeks each), with intense itching in my anus, after taking antibiotics. Two months ago I tested positive for VIH and started on Atripla immediately. My CD4 were then 200. I know that my immune system's state favors candidiasis, more so after taking antibiotics. One week ago I had to be on antibiotics for some days and now my anus is again itching in an unbearable way. What treatment should I follow? I am really on the verge of desperation. Are these candidiasis episodes likely to disappear as my number of CD4 cells increase? Thank you very much in advance from Spain. Tony.

Response from Dr. Henry

Flare-ups of skin/mucousal yeast infections can happen during or after course of antibiotics. Other conditions can cause anal itching so a clinical evaluation is recommended. Often a topical or oral antifungal pill might be considered in situations like yours to prevent or treat flare-ups of yeast infections induced by course of antibiotics (that can occur in HIV negative persons but often worse if HIV infected).Problem is very annoying but generally should be expected to get much better in upcoming months. KH

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