12 results
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 ... < 200: Pulmonary ... HIVAIDS #workup #diagnosis
Pulmonary symptoms in HIV-infected patient by CD4 count

By Dr. Sara Dong @swinndong via #IDFellowCase
#ID  #Infectious
Pulmonary symptoms ... in HIV-infected ... patient by CD4 ... Differential #Ddx #Diagnosis ... #AIDS #pneumonia
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Disease by CD4 ... Count: Any CD4 ... Seasonal influenza CD4 ... Blastomycosis CD4 ... #AIDS #pulmonary
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
Difficile Infection (CDI ... Toxic Megacolon, Shock ... post-ABx, but can be community-acquired ... Ileus, Megacolon, Shock ... recurrent/severe CDI
Community Acquired Pneumonia - Severity and Prognosis
Criteria for Severe CAP - Severe CAP present in 1
Community Acquired ... criteria: Septic shock ... responsive to IV ... #Acquired #Pneumonia ... #severe #psi #diagnosis
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
severe community-onset ... pneumonia Atypical ... Consider two grams IV ... piperacillin-tazobactam Septic Shock ... #Acquired #Pneumonia
Community Acquired Pneumonia - Presenting Features
 • History in favor of CAP: Dyspnea, Cough, particularly if
Community Acquired ... Pneumonia - Presenting ... responsive to IV ... #Acquired #Pneumonia ... #diagnosis #signs
Macrolides - Erythromycin, Clarithromycin, Azithromycin - Antibiotics Class Overview

50S Ribosomal Inhibitor (PO and IV)
Spectrum: Atypical organisms
Azithromycin - Antibiotics ... exacerbations, community-acquired ... pneumonia, sinusitis ... prophylaxis in HIV ... patients with CD4
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired ... - Diagnosis and ... 96.1% • Empiric antibiotic ... Management #treatment #Pulmonary ... #Community #Acquired
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
ART ↑ improves CD4 ... low pretreatment CD4 ... can occur at any CD4 ... an increase in CD4 ... Depends On: • CD4