INFECTIOUS DISEASES(A)

 A1.



Dysphagia associated with cough after eating due to entry of food and liquids into trachae is the common presentation of tracheo oesophagal fistula(TOF)

     In adults TOF is generally seen with malignancies of mediastinum but this patient has a positive history of TB which can be the cause of TOF in this patient(due to erosion) 

A2.

IRIS can be prevented by initiating the ART before the development of advanced Immunosuppression i.e starting the therapy before CD4 cell count decreases more

This patient has  CD4 count of 420 when ART is initiated .So this patient has very less chances of developing IRIS.


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