]> 2026-07-31T07:51:26+00:00 WBR0307 0 en Continue HAART, TMP-SMX, ganciclovir, fluconazole and azithromycin Continue HAART, TMP-SMX Continue HAART, TMP-SMX, azithromycin '''Incorrect''' : With CD 4 count more than 100 cells/µL for more than 3 months without any symptoms, we can safely discontinue prophylaxis for MAC i.e azithromycin. Continue HAART, TMP-SMX, fluconazole Continue HAART Primary Care Office A 40 year old male come to clinic for a follow up visit regarding his HIV status. He was diagnosed with HIV 1 year back and has been taking zidovudine, lamivudine and indinavir since then. He currently has no symptoms and has been compliant with his medications. At the first visit his CD4 count was 50, and you started him on trimethoprim-suphamethoxazole, ganciclovir, fluconazole and azithromycin. His CD4 counts taken every four months were 75 and 100 respectively. His vitals are pulse 80/min, BP: 120/80 mmHg, temperature 100 F, RR: 15/min. Chest auscultation was unremarkable and heart sounds are normal. His abdomen is soft and non tender. No generalized lymphadenopathy. CD4 count taken 1 week back is 25O, seronegative for CMV and his CBC, serum biochemistry, urine analysis and LFT’s are all within normal limits. What is the most appropriate line of management in this patient? B Infectious Disease Respiratory 2020-10-28T00:08:15Z 2459150.5057292 WBR0307