A patient with a history of HIV presents with oral thrush and esophageal pain. W

Practice Questions

Q1
A patient with a history of HIV presents with oral thrush and esophageal pain. What is the most likely causative organism?
  1. Candida albicans
  2. Aspergillus fumigatus
  3. Cryptococcus neoformans
  4. Histoplasma capsulatum

Questions & Step-by-Step Solutions

A patient with a history of HIV presents with oral thrush and esophageal pain. What is the most likely causative organism?
  • Step 1: Identify the patient's condition - The patient has HIV, which weakens the immune system.
  • Step 2: Recognize the symptoms - The patient has oral thrush (a fungal infection in the mouth) and esophageal pain.
  • Step 3: Understand the common causes - In immunocompromised patients, oral thrush is often caused by a specific fungus.
  • Step 4: Identify the organism - The most common organism that causes oral thrush in these patients is Candida albicans.
  • Step 5: Conclude - Therefore, the most likely causative organism for this patient's oral thrush is Candida albicans.
  • Oral Thrush in Immunocompromised Patients – Oral thrush, often seen in immunocompromised individuals, is primarily caused by the overgrowth of Candida species, particularly Candida albicans.
  • HIV and Opportunistic Infections – Patients with HIV are at increased risk for opportunistic infections due to their compromised immune system, making them susceptible to fungal infections like oral thrush.
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