“Doctor Manu” Dr. Manoon Leechawengwong, a specialist in respiratory diseases Wichaiyut Hospital Facebook post Mor Manoon Leechawengwong FC Raise a case of one patient who is sick. “AIDS” but with the situationCovid-19 The treatment was not continuous, the medication was not taken completely, and there was a big problem.
by this patient A 44-year-old man, four years ago had fever, cough, tiredness, was diagnosed with pulmonary PCP and was ill. “AIDS” Give antifungal PCP antiretroviral drugs the patient is better Able to return to work as usual, but 2 years ago, the patient did not take complete antiretroviral therapy. eat some, stop some Finally, HIV is drug resistant. need to replace antiviral drugs But the patient still eats some and stops as usual.
Came to the last treatment with a watery stool more than 10 times a day, exhaustion, unable to eat, weight loss for a week, blood collection, red blood cells, white blood cells, platelets very low. Sent feces stained with tuberculosis, found 3+ feces cultured with TB.Artificial tuberculosis Mycobacterium avium bone marrow foundArtificial tuberculosis non-necrotizing epitheloid granuloma containing numerous acid fast bacilli
summarize : Artificial tuberculosis Mycobacterium avium is distributed throughout the body, into the bone marrow, into the intestines of all HIV drug-resistant patients. M.avium pseudotuberculosis is resistant to almost all drugs. gave full treatment finally died This patient is a lesson for all people living with HIV. You have to take your medication regularly, don’t miss your medication, and see your doctor as scheduled.