How to Treat Mycobacteria in Traveling Patients

For taler mycosis prevention, consider initiating prophylaxis with oral atroconazole if your patient's CD4 count is below 100. They cannot be on anti-retroviral therapy while residing in a highly endemic region within Northern Thailand, Southern China, or Northern or Southern Vietnam. If they indeed have active disseminated disease, they should then promptly start on anti- retroviral therapy and MAC treatment. The ideal study was a 2019 Open Label trial that compared immediate versus deferred initiation of antiretroviral therapy (ART) in HIV patients presenting with pneumocystis pneumonia or toxoplasma encephalitis.