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diagnosis differential hiv infectiousdiseases management syndrome associated cmv cytomegalovirus dementia disorder evaluation fungal hand hivaids immune inflammatory iris lung mycobacteria
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
CNS Infection in ... HIV / AIDS - Differential ... • IRIS might ... enhancement on CT ... #diagnosis #AIDS
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... < 200: Pulmonary ... Imaging (CXR +/- High ... res CT chest scan
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
CMV infection: virus ... regardless of symptoms ... patient with HIV and CD4 ... 50 or less: • Neurologic ... Pancreatitis • Pulmonary
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... • CT: Halo sign ... Lymphadenopathy, CNS ... Constitutional symptoms ... #HIV #AIDS #pulmonary
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
treatment of HIV/AIDS ... be present: • AIDS ... Lymphadenitis, pulmonary ... pleural effusions, CNS ... lymphadenitis, pulmonary
Pulmonary Renal Syndrome Definition: Diffuse alveolar hemorrhage + Glomerulonephritis Presentation (Pulmonary and renal manifestations can occur weeks apart):
allopurinol), Infection ... anti-GBM ab, ANA, C3, C4 ... infiltrates) → high ... resolution chest CT ... DAH, rule out infection
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
and infects the CNS ... • Depressive symptoms ... HIV and with low CD4 ... disorder #dementia #AIDS ... #Neurology
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Illnesses: • Pulmonary ... Advanced HIV (CD4 ... gastrointestinal symptoms ... • Clinical (Symptoms ... res CT) • Exclusion
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
Presentation: Systemic Symptoms ... affects the skin, neurologic ... • Progressive symptoms ... cognitive impairment, neurologic ... chorioretinitis, CNS
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
DX relies on a high ... by culture or serology ... yeast • At risk: AIDS ... especially the CNS ... MC: CNS CSF: •
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