الفهرس 
INTRODUCTIONOnly 14 pages are availabe for public view
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Abstract
The AIDS epidemic is one of the most destructive health crises of modern times, ravaging families and communities throughout the world. The number of people who are newly infected with HIV is continuing to decline in most parts of the world.
The study included 50 hospitalized HIV patients (aged from 18year- 65 years), admitted to Alexanderia Fever Hospital with the clinical manifestations of opportunistic infections and with CD4 < 500cells/mm3.
The aim is to study clinical presentations, ways of diagnosis of some opportunistic infections and its relation to CD4 level among the studied sample.
The study started by taking an informal consent from HIV patients included in the study treated in Alexandria Fever hospital after obtaining approval from Ministry of Health and approval from Hospital Director. The data were collected from the patients by history taking and clinical examination and results of the laboratory tests and radiology images.
This study revealed that most of our cases (48%) aged 30-40 years and (20%) aged 40-50 years. Males represented (82%) of cases and females (18%). AIDS occurred in 68% of cases.
fever is the most frequently reported symptoms was presented in 92% of our cases followed by cough, weight loss, white tongue and diarrhea, while rashes on the skin , disturbed level of consciousness and lesions on tongue were the least frequently reported symptoms.
Complete blood picture showed anemia in (76%) of cases, thrombocytopenia in (10%), thrombocytosis in (8%), Leucopenia in (40%) while leukocytosis in (16 %) of cases and the differential white blood cell count abnormalities were Lymphopenia in 66%, neutrophilia (40%), neutropenia (20%), Basophilia in (0%) and monocytosis in (4%) of cases.
Abdominal ultrasound showed hepatomegaly with increased echogenicity in (24%) of the studied cases, splenomegaly in 2 %, hepatosplenomegaly in 6 cases and intra-abdominal LN in 2 cases while normal ultrasound finding in (58%).
The study showed that oropharngeal candidiasis is the most frequently reported opportunistic infection were presented in (64%) of cases followed by pulmonary TB (52%), salmonella (8%), E.histolytica (6%), and Kaposi sarcoma (6%) while, cryptosporidium (4%) , cyclospora (4%), toxoplasmic encephalitis (4%) were the least frequent opportunistic infection.
There is statistically significant relationship between the occurrence