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A case of secondary syphilis and HIV coinfection accompanied by irritant contact dermatitis in a 24-year-old men who have sex with men (MSM) was reported. The patient presented with erythematous macules, papu les, plaque, and thin scales on the scalp, neck, chest, back, bath arms and lower limbs. There were erythematous macules on bath palms and sales, also erythematous mocules, hiperpigmented …
A case of genital herpes with atvpical clinical feature in a 27-year-old man with AIDS was reported. The patient presented with multiple shallow ulcers in the pubic area, peniJe shaft, and 1/3 upper scrotum, with irregular shape, without induration, nor poin. The working diagnosis of nonspecific genital ulcer was made after the differential diagnoses of various etiologies were eliminated throug…
Latent syphilis is one of the syphilis stadiums caused by T. pallidum which is asymptomatic however it shows reactive serology. Patient with latent syphilis without treatment will have the disease throuqnout their whole life and will increase the risk for HIV infection. Pregnant women with latent syphilis will transmit the disease to 40% of the babies, 20% will be premature, 10% will be still b…
Treatment failure in HIV patient is usually marked by virological failure, immunological failure, and clinical deterioration of the patient. Virological failure preceded other faifures and characterized by no decrease in viral load after 48 weeks of antiretroviral treatment. Immunological failure is characterized by CD4 decreased. Factors contributed to the faifure of ARV treatment are adherenc…
Anti Retroviral Treatment (ART) for Human Immunodeficiency Virus (HIV) infection/ Acquired Immunodefficiency Syndrome (AIDS) is a life-long treatment with the goal of the suppression of virus replication to achieve patient improved quality of life. Unfortunafely, number of treatment failures among patient receiving ART is stlll high because of poor adherence. The criteria for good adherence inc…
Anti Retroviral (ARV) in HIV patients dramatically changed the prognosis of patients with HIV but requires perfect adherence to treatment. Until now the assessment of adherence to ARV treatment is difficult because ideal method of assessment to use in day-ta-day practice is unavallable. In this paper we will describe the role of mean corpuscular volume (MCV) as a method of assessment of adheren…
Tuberculosis is stil/ one of the major infectious disease in the world including lndonesia. Although the therapy using Directly Observed Treatment Short course Chemotherapy (DOTs) recomended by World Health Organization has been used, the drop out cas es is stil/ high. This study aim to describe factors contributing to drop out cas es in Sukamerang Health Center, Garut. This was a cross section…
Reproductive Health is one of the program that government's focus on. The level of knowledge about reproductive health is one factor that can influence adolescent sexual behavior. The purpose of this study was to determine the comparative level of knowledge, attitudes and behavior regarding reproductive health of adolescent in high school and Madrasah Aliyah. This research used descriptive an…
Cryptococcus neoformans infection is one of the opportunistic infections in HIV patients, it caused cryptococcal meningitis, which can be detected earlier using the antigen contained in the polysacharide capsule. The availability of this antigen test is very limited that other parameter are needed for early detection of cryptococcal meningitis. That parameter is C-Reactive Protein (CRP). The ai…
CD4 count is a marker for initial and follow up antiretroviral therapy (ART) in HIV/AIDS patients. It requires expensive equipment and skill to performed. World Health Organization (WHO) recommends total Iymphocyte count (TLC) as a substitute marker for CfJ4 count to start ART. The aim of this study was to evaluate the correlation between CD4 count and TLC in baseline and follow up data as a gu…