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Radiographic appearances of pulmonary disease in HIV-infected patients

By Dr. Sara Dong @swinndong via #IDFellowCase

#ID  #Infectious
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
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
- Clinical manifestations ... legionella/strep, HIV ... Anti-dsDNA, ANCA COP DDX ... , Pulmonary lymphoma ... #COP #BOOP #pulmonary
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... galactomannan, HSV ... chain reaction, VZV ... #CT #Patterns #Pulmonary ... #Lung #Infections
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
CT • Distinct pulmonary ... leading into a lung ... • DDx: Septic ... #Pulmonary #diagnosis ... #radiology #clinical
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients
 • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
diseases in HIV ... Actinomyces spp., NHL; Lung ... Pyogenic bacterial pneumonia ... cancer, Organizing pneumonia ... diagnosis #chestCT #radiology
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
circumferential GGO • DDx ... sarcoidosis, mets to the lung ... Halo #Sign #CT #Lung ... #Pulmonary #diagnosis ... #radiology #clinical
Cotton Wool Spots

Caused by microinfarcts. Exploded ganglion cell axons extrude their axoplasm into retina. Long DDx:
Long DDx: hypertension ... , diabetes, HIV, ... ophthalmology #Clinical
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... in HIV-AIDS Bacterial ... identified, Strep pneumoniae ... CD4 < 200: CMV, HSV ... failure, COPD, Lung