22 results
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
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 ... (Mycoplasma pneumoniae ... #workup #diagnosis
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
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook

Clinical Presentation + Progression:
(CDI) - Diagnosis ... Toxic Megacolon, Shock ... post-ABx, but can be community-acquired ... Ileus, Megacolon, Shock ... #diagnosis #management
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... Diagnosis Framework ... Microsporidium #Lung #Infections ... #HIV #AIDS #pulmonary ... #differential #diagnosis
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
Antibiotics for severe community-onset pneumonia 

Atypical coverage always 

- Usually azithromycin 500 mg daily 

- Doxycycline
pneumonia Atypical ... Consider two grams IV ... piperacillin-tazobactam Septic Shock ... #Acquired #Pneumonia ... Antibiotics #Coverage #Management
Common Infections in Solid-Organ Transplant Recipients
< 1 Month
 - Infection with antimicrobial-resistant species
 - Donor-derived infection
Common Infections ... antiviral (CMV,HBV ... > 6 Months - Community-acquired ... pneumonia, urinary ... #Timeline #Diagnosis
Common Variable Immunodeficiency (CVID)

What?
CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
frequent and severe community-acquired ... infections: Pneumonia ... and M panel Management ... Epstein-Barr syndrome, HIV ... #management
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired ... - Diagnosis and ... Management Pneumonia ... #Pulmonary #Community ... #Acquired