What is included in the long-term monitoring of HIV-associated meningitis?

Updated: Aug 24, 2017
  • Author: Gulshan Uppal, MD; Chief Editor: Niranjan N Singh, MBBS, MD, DM, FAHS, FAANEM  more...
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Answer

Answer

Follow-up care in patients with CMV meningitis includes the following drugs and dosages:

In cryptococcal meningitis, maintenance therapy should be continued with fluconazole 200 mg/day. Lifelong secondary prevention may be required. Consideration might be given to discontinuing secondary antifungal prophylaxis in selected patients who have responded well to highly active antiretroviral therapy (HAART), with 12-18 months of successful suppression of HIV viral replication.

Symptomatic increased intracranial pressure should be treated with repeated lumbar punctures.

Patients with mild disease, pancytopenia, renal insufficiency, or abnormalities in electrolytes (potassium, magnesium) may be treated with fluconazole 200 mg twice daily for 8-10 weeks.


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