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

By Dr. Sara Dong @swinndong via #IDFellowCase

#ID  #Infectious
in HIV-infected ... IDFellowCase #ID ... #Infections #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 ... #Ddx #Diagnosis ... #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
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
in HIV/AIDS Patients ... Pulmonary edema; ARDS ... Actinomyces spp., NHL; Lung ... #differential # ... diagnosis #chestCT #radiology
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
on Lung POCUS ... POCUS lung exam ... Differential Bilat ... disease, interstitial ... #Lung #POCUS #clinical
AIDS-defining illnesses
 - Candidiasis of the esophagus, bronchi, trachea, or lungs [(but NOT the mouth (thrush)]
bronchi, trachea, or lungs ... Cytomegalovirus disease ... Encephalopathy, HIV ... syndrome due to HIV ... #Illnesses #HIV
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Infections in HIV-AIDS ... CD4 < 200: CMV, HSV ... failure, COPD, Lung ... CXR +/- High res CT ... Infectious Diseases
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... hematogenous spread of a disease ... rarely typical pneumonia ... pulmonary #CXR #clinical ... #CT
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... Chest CT: • Ground-glass ... community-acquired infections: Pneumonia ... DDX - Other causes ... Epstein-Barr syndrome, HIV
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
for Klebsiella pneumonia ... Lung Abscess - Clinical ... seen • Chest CT ... Abscess Differential ... Abscess #pulmonary #differential