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Low-Dose Trimethoprim-Sulfamethoxazole Prophylaxis for Toxoplasmic Encephalitis in Patients with AIDS
Ann Int Med 117:106-111, 163-1641992., Carr,A.,et al, 1992
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Article Abstract
No patient ion the trimethoprim-sulfamethoxazole group and no patient seronegative for Toxoplasma gondii developed toxoplasmic encephalitis, compared with 12 of 36(33%;95%Cl,19%to 51%)seropositive patients in the pentamidine group(trimethoprim-sulfamethodixazole compared with pentamidine,P=0.008).A significant difference was seen in the time of toxoplasmic encephalitis between the trimethoprim-sulfamethoxazole group (no case at 1150 days)and the pentamidine group(median time 460 days)(P=0. 004).Neither the CD4=lymphocyte count at the start of prophylaxis nor zidovudine therapy during the period of prophylaxis influenced the rate of toxoplasmic encephalitis in any group.Low-dose trimethoprim- sulfamethoxazole(four tablets per week)appears to be effective prophylaxis against toxoplasmic encephalitis in HIV infected patients with previous P. carinii pneumonia.A prospective,randomized,controlled study is needed to further evaluate these findings.
Related Tags
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acquired immunodeficiency syndrome
adverse drug reaction
human immunodeficiency virus type 1
meningoencephalitis,toxoplasma
opportunistic infection
opportunistic infection,CNS
pneumocystis carinii
prevention of neurologic disorders
toxoplasmosis,CNS
toxoplasmosis,prophylaxis
treatment of neurologic disorder
trimethoprim-sulfamethoxazole
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