Please Note: Due to volume considerations, not all questions can be answered. Questions most likely to be answered will be those of general interest to a broad group of visitors to this forum. Questions pertaining to a specific case; requests for diagnosis, medical advice, or second opinion; or requests for opinions about untested alternative therapies will generally not be answered.
La participacion del Doctor Steve Natterstad en el
Foro de Tratamientos fue hecho posible gracias a Boehringer Ingelheim.
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TOXOPLASMOSIS
Nov 11, 2006
Estimado Doctor me mandaron ha realizarme una examen de toxoplasmosis y salio positivo para IGG, tambien Chagas +,mi carga viral es de 100.000 y mi CD4 de 127. el Doctor me dijo que debo empezar el tratamiento, pero no se como vn ha tratar la toxoplasmosis, sera que tengo que realizar dos tratamietos a la vez. Me asusta. Gracias
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Respuesta del Dr. Natterstad
Hola,
El resultado de tu examen de toxoplasmosis no indica que tienes la toxoplasmosis sino que tienes anticuerpos (IgG) contra el Toxoplasma gondii, el parásito responsable de causar toxoplasmosis. Si tus CD4 estuvieron por debajo de 100, necesitarías tomar TMP/SMX (Bactrim o Septra) para prevenir la toxoplasmosis. Sin embargo, deberías estar tomándolo (o una alternativa) de todos modos para prevenir la neumonía por Pnemocystis carinii que puede aparecer cuando el recuento de CD4 es inferior a 200. Finalmente, con los CD4 de 127 y una carga viral de 100.000, deberías estar tomando un régimen anti-VIH. ¿Es el caso?
Mucha suerte y no dudes en escribirme nuevamente si necesitas más ayuda. Un gran abrazo.
Dr. Steve
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