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management differential infectiousdiseases cd4 common cvid evaluation fungal hematology hiv hivaids hypogammaglobulinemia immunodeficiency immunology induced mycoses prs renal syndromes toxicity
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Pleuritic chest ... Characteristic finding ... failure - Infectious ... reticular opacities on chest ... and confirmatory findings
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... failure, COPD, Lung ... chest scan), CBC ... Diseases Fellows
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
late adulthood • Diagnosis ... • Chronic lung ... Granulomatous lymphocytic interstitial ... lung disease (GLILD ... Chest CT: • Ground-glass
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
chest to evaluate ... confirm DAH, r/o infection ... sparing of the lung ... typically seen on chest ... CT
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... • Pleuritic chest ... Lymphadenopathy, Chest ... Pneumonia: • Chest ... #AIDS #pulmonary
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
symptoms • Rheumatologic ... aches, joint pain, chest ... yeast • At risk: AIDS ... change in the lungs ... nails, bronchi, lungs
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