Doctor Manoon raised the case of a patient who did not take all the medicines. causing major problems to follow?

Dr. Manoon raised the case during the Covid-19 epidemic. Patients with AIDS did not take all the antiretroviral drugs. Finally, drug resistance was detected artificially tuberculosis. He received complete treatment and eventually died.

Today (5 May 65) Dr. Manoon Leechawengwong, a specialist in respiratory diseases Wichaiyut Hospital Posted a message through the page of Dr. Manoon Leechawengwong FC, stating that

“During the outbreak of COVID-19 Some patients do not continue to receive treatment and do not take the full amount of medication, causing major problems.

A 44-year-old man four years ago developed a fever, cough, tiredness, was diagnosed with pulmonary PCP and was diagnosed with 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 tuberculosis. up artificial tuberculosis Mycobacterium avium bone marrow test reveals artificial tuberculosis non-necrotizing epitheloid granuloma containing numerous acid fast bacilli

Conclusion: Artificial TB Mycobacterium avium is distributed throughout the body, into the bone marrow, into the intestines of all HIV drug-resistant patients. Artificial tuberculosis M.avium

It is resistant to almost all types of drugs. gave full treatment and 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.”

Image from AFP/Mor Manoon Leechawengwong FC

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