6 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... failure, COPD, Lung ... CXR +/- High res CT ... chest scan), CBC ... Diseases Fellows
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
sweats, chills (infection ... disease or CHF) ... lymadenopathy, clubbing, chest ... refer + order CT ... disease #Chronic
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
Autoimmunity • Chronic ... lung disease ... Granulomatous lymphocytic interstitial ... lung disease (GLILD ... Chest CT: • Ground-glass
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... • Pleuritic chest ... Lymphadenopathy, Chest ... breath, Fatigue, Chest ... Pneumonia: • Chest
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
lung disease ... lung infections ... Advanced HIV (CD4 ... • Dyspnea, • Chest ... Imaging, high res CT
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Rheumatologic ... aches, joint pain, chest ... change in the lungs ... pulmonary infection ... nails, bronchi, lungs