18 results
Radiographic appearances of pulmonary disease in HIV-infected patients

By Dr. Sara Dong @swinndong via #IDFellowCase

#ID  #Infectious
pulmonary disease in HIV-infected ... IDFellowCase #ID ... #Differential #Ddx ... #Diagnosis #HIV ... #AIDS #Pneumonia
Pulmonary symptoms in HIV-infected patient by CD4 count

By Dr. Sara Dong @swinndong via #IDFellowCase
#ID  #Infectious
Pulmonary symptoms in HIV-infected ... #IDFellowCase #ID ... #Differential #Ddx ... #Microbiology #HIV ... #AIDS #pneumonia
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
in HIV - Differential ... macrophages in HIV ... low if you have HIV ... nodules possible in HIV ... #Infections #HIV
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
of interstitial lung ... - Clinical manifestations ... Diagnosis: • Lung ... legionella/strep, HIV ... Anti-dsDNA, ANCA COP DDX
Cotton Wool Spots

Caused by microinfarcts. Exploded ganglion cell axons extrude their axoplasm into retina. Long DDx:
Long DDx: hypertension ... , diabetes, HIV, ... ophthalmology #Clinical
AIDS-defining illnesses
 - Candidiasis of the esophagus, bronchi, trachea, or lungs [(but NOT the mouth (thrush)]
bronchi, trachea, or lungs ... Encephalopathy, HIV ... syndrome due to HIV ... Defining #Illnesses #HIV ... #InfectiousDiseases
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
pulmonary diseases in HIV ... Actinomyces spp., NHL; Lung ... Pyogenic bacterial pneumonia ... cancer, Organizing pneumonia ... diagnosis #chestCT #radiology
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... • Chronic lung ... community-acquired infections: Pneumonia ... DDX - Other causes ... Epstein-Barr syndrome, HIV
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Pattern - Chest Radiology ... throughout the lungs ... rarely typical pneumonia ... - Viral: VZV ... pulmonary #CXR #clinical
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Active TB: • HIV ... disease • DM DDX ... are pulmonary • HIV ... TST or IGRA HIV ... : • HIV-infected