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مركز الامراض السارية بنغازي Benghazi Center Of infectious Diseases and Imm, Benghazi (2025)

21/05/2017

لا زال المركز يعاني من نقص الادوية ولا حياة لمن تنادي

03/04/2017

استمرار تطبيق الوصمة والتمييز على المرضى المصابين في اغلب المستشفيات

03/04/2017

مركز الامراض السارية يسعى جاهدا للتطوير ....خاصتا استكمال احتياجات حجرة العمليات والولادة و المبنى الاداري بالمركز والمعمل وتوفير الادوية بدلا من الوضع المهزلي الذي ال اليه منذ فترة بسبب السياسات الرعناء للادارات والوضع المالي للدولة حيث اصبح المرضى فقط يريدون السفر للخارج واغلبهم فقط للمال العام مع ان بعضهم لهم الحق في ذلك

03/04/2017

اللهم اشفي مرضانا وارحم موتانا

25/03/2017

المركز لا زال يعاني من نقص الادوية والمحاليل ووزارة الصحة في سبات ولا حياة لمن تنادي والثني اااااااااااقفل الباب الثاني اي حتى الحلول التلفيقية اصبحت صعبة فهناك مرضى لا يستطيع المركز علاجهم بالداخل حيث ترفض المستشفيات استقبالهم مع العلم ان المرضى انفسهم غير متعاونين واغلبهم يهمهم مصلحتهم الشخصية

21/03/2017

ايقاف الباب الثاني للمركز اثر سلبا على جميع الخدمات الطبية والادارية بالمركز

20/03/2017

حتى الان لا جديد بخصوص منحة التغذية التي وقفت بسبب ايقاف الباب الثاني من الحكومة

13/03/2017

ايقاف منحة تغذية المصابين لحين اشعار اخر مع العلم انها ضمن الباب الثاني

03/03/2017

pneumocystitis contiued
Symptoms

At first, P*P may cause only mild symptoms or none at all.

classically it presents with fever and subacute respiratory illness of dry cough ,shortness of breath that increases with even mild exertion how ever always keep various causes of RTI in your differential diagnosis
chest examinations maybe normal or reveals crackles , findings depends on severity of disease from mild to sever respiratory distress

03/03/2017

pneumocystitis continued

P*P in People with HIV

Before we had medicine to treat HIV, about 3/4 of HIV-positive people got P*P. Antiretroviral therapy (ART) and preventive drugs have brought that number way down, but it's still the most common opportunistic infection.

You're most likely to get it when your CD4 cell count is less than 200. About 1 in 10 people who are in the hospital with HIV have P*P. People with AIDS can die from it, even though they get treatment.

03/03/2017

what do you know about pneumocystitis pneumonia , an infectious that usually treated empirically and haphazardly by most doctors in the center due to lack of diagnostic facilities as well as improper application of scientific bases of differential diagnosis especially in respiratory cases of acute presentation illness as most infections commonly result of bacterial infections and as we observed most doctors miss use of septrin

Pneumocystis pneumonia (P*P) is a serious infection that causes inflammation and fluid buildup in your lungs. It's caused by a fungus called Pneumocystis jiroveci that's likely spread through the air. This fungus is very common. Most people have successfully fought it by the time they're 3 or 4 years old.

P*P isn't hard to treat and prevent. A healthy immune system can easily control it. But it can make people with weakened immune systems, such as someone with HIV, very sick. People who've gotten an organ transplant, with blood cancers, or who take drugs for autoimmume diseases such as rheumatoid arthritis, inflammatory bowel disease, and multiple sclerosis could get it, too.

Although it's rare, P*P can also affect other parts of your body, including lymph nodes, liver, and bone marrow.

03/03/2017

مركزالامراض السارية يتمنى لكم جمعة طيبة مباركة مع الصحة والعافية لجميع مرضى المركز

03/03/2017

treatment of oral lesions in HIV patients:-
dental cares:
techniques such as “scoop and fill” andtemporary filling; tooth restoration
Dry mouth (xerostomia) :>>>Sugar-free citrus candies; artificial saliva products
Abscess/infection of the tooth pulp>> Antibiotic, preferably penicillin
Periodontal disease
Linear gingival erythema (LGE) >>Antimicrobial mouth rinse such as chlorhexidine (Peridex); in severe cases, a systemic antibiotic
Necrotizing ulcerativeperiodontitis (NUP) :Palliative therapy: antimicrobial mouth rinse, systemic antibiotic medication,
pain medication
Treatment: debridement (professional
cleaning), surgical procedures, antibiotic medication
(HPV) lesions :surgery electrocautery; others
Oral candidiasis( P s e u d o m e m b r a n o u s candidiasis, angular cheilitis, erythematous candidiasis,atrophic candidiasis):
Topical nystatin; systemic fluconazole(Diflucan)
Aphthous stomatitis:- Triamcinolone (Kenalog) ointment or
fluocinonide (Lidex) mixed with Orabase; dexamethasone rinse; systemic prednisone; thalidomide
Oral herpes simplex :Systemic acyclovir (Zovirax), famciclovir
(Famvir), or valacyclovir (Valtrex)
Oral hairy leukoplakia :None — will resolve on its own
Opportunistic tumors
Kaposi’s sarcoma (KS) S y s t e m i c doxorubicin (Doxil) or paclitaxel (Taxol); vinblastine (Velban); localized chemotherapy; surgery; radiation therapy
(NHL) >>>>Radiation and/or chemotherapy
يتمنى لكم مركز الامراض السارية قراءة مفيذة ويمكن السؤال عن اي ملاحظات

03/03/2017

oral conditions strongly suggests AIDS continued
Opportunistic Tumors
Several opportunistic tumors (cancers or neoplasms) are associated with HIV infection. Kaposi’s sarcoma (KS) and non-Hodgkin’s lymphoma (NHL) occur most frequently and may manifest in the oral cavity. Both of these conditions are seen when immunesuppression is severe and an individual has an AIDS diagnosis (a CD4 cell count below 200 cells/mm3).
KS is the most common neoplasm in people with HIV. It is a
malignancy of the endothelial lining of blood vessels and is
associated with a herpesvirus known as HHV-8. KS appears clinically as flat or raised, usually reddish or purplish lesions that do not blanch (whiten) with pressure. Lesions often enlarge rapidly and may become exophytic (grow outward).
Hairy Leukoplakia (mild to moderate)
Kaposis Sarcoma (macular)

Palliative treatment for oral KS is rarely required unless the lesion enlarges and interferes with chewing or talking. In such cases, interventions include systemic doxorubicin (Doxil) or paclitaxel (Taxol), localized chemotherapy, and surgery; injections of vinblastine (Velban) appear effective in some studies. Large, multiple lesions may be treated with radiation therapy. People with KS who start antiretroviral therapy for the first time may see their lesions resolve without further treatment.
NHL in the oral cavity is most often a soft, tumor-like mass that may enlarge rapidly. Biopsy is required for diagnosis, and treatment consists of radiation and/or chemotherapy. Until treatment can be implemented, palliative care is usually not required.
Conclusion
HIV-positive people should be encouraged to receive dental examinations every six months, preferably by a provider who is familiar with conditions associated with decreased immune
function. Some conditions, such as thrush, may be mistaken for materia alba, which is the result of poor oral hygiene. Other conditions that might be allowed to run their course without
medication in individuals with competent immune systems — such as aphthous ulcers — should be treated in people with HIV. Again, most oral problems, such as dental caries and
periodontal disease, are the result of bacterial infections.
Individuals with HIV can protect themselves not only with routine examinations, but also by brushing and flossing regularly, as well as by not smoking and limiting alcohol intake. Smoking and alcohol use are strongly associated with oral cancers, which are relatively common and have a poor prognosis compared with other types of cancer. As always, lifestyle changes may reduce the need to fight off or treat preventable diseases

03/03/2017

Conditions Found Primarily in People With HIV
The following conditions are seen most often in people with advanced HIV disease. As with other conditions, the risk increases as CD4 cell counts decrease.
Oral Hairy Leukoplakia
Hairy leukoplakia appears as white patches, nearly always on the lateral border (outside edges) of the tongue. These lesions usually have an irregular surface and may have hair-like
projections. While this condition may resemble thrush, hairy leukoplakia lesions cannot be wiped off, unlike the lesions of thrush.
Hairy leukoplakia is thought to be caused by the Epstein-Barr virus (also associated with infectious mononucleosis). Since this condition is rarely seen unless the CD4 cell count is low, it is less common in areas where combination anti-HIV therapy is
readily available.
Hairy leukoplakia is a benign condition that resolves on its own. Inasmuch as it causes no symptoms, including discomfort or changes in taste perception, there is no need for treatment. For aesthetic purposes it may be treated offlabel with agents Individuals with HIV can protect themselves not only with routine examinations, but also by brushing and flossing regularly such as tretinoin (Retin-A) or podophyllin

03/03/2017

HIV related oral lesions continued
HSV and HZV
Oral herpes simplex is a viral condition associated with
herpes simplex virus type 1 (HSV-1). It is characterized
by the eruption of serum-filled vesicles, or blisters
(sometimes referred to as “cold sores” or “fever blisters”)
on the face, lips, or mouth. (Herpes simplex virus type 2
[HSV-2] causes similar blisters in the ge***al or a**l
region.) These lesions often start with prodromal (early)
symptoms of malaise, fever, and a general feeling of
illness, which can be masked in people who are already
ill. There also may be itching or tingling sensations.
Vesicles usually form within 24 hours and rupture shortly
thereafter, forming a scab. Herpes outbreaks typically
resolve without treatment within two weeks in individuals with competent immune systems.
As with aphthous ulcers, herpes simplex lesions may be larger,
more painful, and more prone to secondary infection in HIVpositive individuals. Again, these lesions can exacerbate
problems in people with wasting syndrome by causing pain
and decreasing their ability to eat comfortably.
Palliative treatment should be provided to those with
compromised immune systems. This normally involves using
a systemic antiviral medication such as acyclovir (Zovirax),
famciclovir (Famvir), or valacyclovir (Valtrex). In some cases, a
systemic drug also may be used to suppress the recurrence of
herpes lesions. Topical medications usually do not work as well as systemic medications for this condition.

03/03/2017

oral HIV manifestations continued
Aphthous Stomatitis
Aphthous stomatitis (canker sores) is a common condition regardless of HIV status. In HIVpositive individuals the ulcers, or sores, may be slow to heal, and aphthous ulcers minor are
more likely to become aphthous ulcers major. The difference between the two relates to ulcer size (major ulcers are over 1 cm, or 0.4 inches, in diameter) and the severity of the condition.
The cause of these noncontagious lesions is not known.
Aphthous ulcers are generally shallow, crater-like lesions with a
raised, red border surrounding a gray, central
pseudomembrane. In HIV-positive individuals these lesions may be found on keratinized (hardened) tissue such as the hard palate.
Aphthous ulcers are left to heal on their own in people with
competent immune systems. However, untreated lesions may
become painful, quite large, and prone to secondary infection
in those with immune dysfunction. People with wasting syndrome or general debilitation may have great difficulty as these lesions may cause severe pain and decrease their ability to consume food comfortably. Accordingly, people with HIV require care for any aphthous lesions, regardless of size, to prevent them from expanding and causing potentially serious problems.
Treatment consists of a steroid medication, most frequently a topical ointment such as triamcinolone (Kenalog) or fluocinonide (Lidex) mixed with Orabase ointment. A dexamethasone liquid rinse may also be used. Some cases may require a systemic steroid such as prednisone,
although the risks of systemic steroid use should be considered. Thalidomide has recently been approved in the U.S. for the treatment of aphthous ulcers, but is not commonly used because of its sedative effect.
Recurrent aphthous lesions may be mistaken for herpes simplex especially if they occur on keratinized tissue. A reliable medical history is a good method for determining the condition,
since individuals with either lesion typically will have had previous episodes and often do not have both diseases.

03/03/2017

conditions found More Often in People With HIV
The following conditions are more prevalent and can have serious consequences in HIVpositive
individuals, particularly those with CD4 cell counts of 500 cells/mm3 or below. In general, the risk increases as the CD4 cell count falls.
Oral Candidiasis
Oral candidiasis (broadly known as thrush) is a relatively frequent problem for people who are HIV positive. This condition is usually associated with the Candida albicans fungus, and may take several different forms. Because Candida infection is a sign of immune dysfunction, it should be reported immediately to a medicalprovider.
Pseudomembranous candidiasis is by far the most common form of oral candidiasis. This condition is characterized by small, generally white patches in any part in the mouth. These patches can be easily wiped off and may be mistaken for materia alba (food particles). Sometimes there is bleeding or an erythematous (reddish) area under the white patch, and the lesion may be associated with a burning sensation or pain. People with candidiasis often notice changes in taste perception, which may make food undesirable. Oral cultures can be taken for diagnosis; however, if an HIV-positive individual has had a previous Candida infection, it is prudent to start treatment without waiting for a culture.
There are several other less common varieties of candidiasis.
One form is called angular cheilitis when it occurs at the corners of the mouth. This condition is easily mistaken for chapped lips. Topical antifungal treatment should be started without waitingfor an appointment with a dentist or physician since angular cheilitis, like other forms of oral thrush, often recurs.
Erythematous candidiasis usually appears on the tongue or hard palate (the bony portion of the roof of the mouth). Lesions have a red appearance and cannot be wiped off. Atrophic candidiasis usually appears on the tongue. Both of these conditions can cause changes in taste perception and/or pain and a burning sensation.
All forms of candidiasis should be treated promptly. Treatment includes antifungal medications such as topical nystatin or systemic fluconazole (Diflucan). Resistant oral thrush may indicate a concurrent infection in the air sinuses alongside the nose, which may require further treatment.
Again, candidiasis is more likely to occur in individuals who have low CD4 cell counts. Dry mouth is another contributing factor. Individuals with a history of candidiasis should have
Oral Candidasis
Angular Cheilitis
antifungal medication available in the likely event that the infection recurs, particularly if immune suppression does not improve.

مركز الامراض السارية بنغازي Benghazi Center Of infectious Diseases and Imm

21/05/2017

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