A HIV coinfected patient with BV.Leiahmaniasis is given Amphotericin B has had seizures which is now rare after giving him the medicine again after a gap of about ten days on completion of 14 days But still suffers from severe headache,Vision issues, hearing issues,nausea and vomiting,loss of appetite.But ART is with
L
Lianminthang Thomte
Write Answer...
D
Dr. Bhavya GuptaExpertHello Mr Thomte,
Thank you for reaching out. Based on the details shared, the patient is dealing with HIV coinfection and visceral leishmaniasis, for which Amphotericin B is being administered. The reported symptoms—seizures (rare), severe headache, vision and hearing issues, nausea, vomiting, and loss of appetite—warrant a detailed assessment, as these could be related to the underlying conditions, treatment side effects, or other complications.
Immediate Steps and Suggested Treatment Options
Clinical Assessment and Consultation
- Neurological Examination and consultation with Neurologist: To assess the cause of seizures, headaches, and vision/hearing issues.
- Fundoscopy and Imaging: If headaches and vision changes persist, evaluate for papilledema or intracranial pressure.
- Infectious Disease Specialist: To optimize HIV and leishmaniasis treatment and manage co-infections.
Laboratory Tests
- Monitor kidney function (serum creatinine, urea).
- Check electrolytes (potassium, magnesium, calcium).
- Perform a complete blood count and liver function tests.
- Medication Adjustment
- Reassess the dosing schedule of Amphotericin B.
- Consider anti-emetics for nausea/vomiting and appropriate medications for headaches and appetite stimulation.
3 months ago
Address
Vianam Healthtech Private Limited (HexaHealth), Third Floor Building B, The Presidency, 46/4, Sector 14, Mehrauli Gurgaon Road, Gurgaon, Haryana 122001
Vianam Healthtech Private Limited (HexaHealth), Third Floor Building B, The Presidency, 46/4, Sector 14, Mehrauli Gurgaon Road, Gurgaon, Haryana 122001
Vianam Healthtech Private Limited © 2025. All Rights Reserved.