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diagnosis differential hiv infectiousdiseases management cd4 cns cytomegalovirus evaluation fungal hivaids immune inflammatory iris lung mycoses opportunistic reconstitution signs syndrome
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 ... 50 or less: • Neurologic ... • Endocrine: Infectious ... Pancreatitis • Pulmonary
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... • CD4 < 200: CMV ... Imaging (CXR +/- High ... res CT chest scan
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... • IRIS might ... enhancement on CT ... - Generally >3 cm ... differential #diagnosis #AIDS
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... • CT: Halo sign ... fever CMV: ... 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 ... lymphadenitis, pulmonary ... keratitis, iritis • CMV
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
DX relies on a high ... affected tissue • High-dose ... by culture or serology ... yeast • At risk: AIDS ... Diagnosis: • Serology
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