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differential causes infections infectiousdiseases management ophthalmology blurry cmv cns cytomegalovirus diplopia doublevision fungal immune inflammatory 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
Cytomegalovirus (CMV) in HIV-AIDS ... regardless of symptoms ... inclusions or positive ... 50 or less: • Neurologic ... #AIDS #diagnosis
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
/ AIDS - Differential ... • IRIS might ... and <25% culture positive ... patients with IRIS ... #AIDS #opportunistic
Blurry Vision - Differential Diagnosis Framework Anatomical Approach to Eye Disease: 1. Lids/Lashes 2. Extraocular Muscles/Motility 3. Conjunctiva/Sclera 4. Cornea 5. Anterior
Iris 7. ... Ocular Adverse Effects ... Uveitis Lens: • Cataracts ... optic disk • HIV ... /AIDS or other immunosuppressive
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
/AIDS patients ... be present: • AIDS ... a decrease in HIV ... skin lesions, ocular ... Zoster flare, ocular
Diplopia - Double Vision - Differential Diagnosis Algorithm Clinical Pearls: • Diplopia is almost always binocular. •
Algorithm Clinical ... • Neurologic ... symptoms suggest ... Refractive Error • Cataract ... Cranial Nerve IV
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
by culture or serology ... yeast • At risk: AIDS ... osteoarticular, pulmonary, ocular ... : • Serology for ... infection have positive
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