13 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 ... #Infectious Diseases ... #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 ... #Ddx #Diagnosis ... #Microbiology #HIV ... #AIDS #pneumonia
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... in HIV - Differential ... macrophages in HIV ... low if you have HIV ... #Infections #HIV
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
in HIV-AIDS Bacterial ... identified, Strep pneumoniae ... CD4 < 200: CMV, HSV ... failure, COPD, Lung ... /- High res CT chest
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 ... tuberculosis Infectious ... differential #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 ... Chest CT: • Ground-glass ... : Pneumonia • Autoimmune ... Epstein-Barr syndrome, HIV
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
Miliary Pattern - Chest ... throughout the lungs ... rarely typical pneumonia ... - Viral: VZV ... pulmonary #CXR #clinical
Invasive Aspergillus (IA) - Diagnosis and Management
Aspergillus is ubiquitous in nature. Most invasive infections are caused
SOT, Advanced HIV ... /AIDS, CGD) Clinical ... ; Fungemia is uncommon ... angle branching • Ddx ... to amphoB) • Combo
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... • Most common ... cause: Aspiration pneumonia ... for Klebsiella pneumonia ... Lung Abscess - Clinical
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
antibiotic use, infections ... (Candida, CMV, HSV ... restored to esophagus Clinical ... epigastric/retrosternal chest ... formation is the most common