15 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... • CD4 > 200: M.tuberculosis ... • CD4 < 200: Pulmonary ... ID_fellows #Pulmonary ... diagnosis #evaluation #differential
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
infections/year ... • Pulmonary fibrotic ... • HIV: 2/3 pulmonary ... Tuberculin skin test ... staining, NAA (PCR
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
infections/year ... • Pulmonary fibrotic ... • HIV: 2/3 pulmonary ... Tuberculin skin test ... staining, NAA (PCR
Neurological Manifestations of Tuberculosis
Spinal Arachnoiditis & Polyradiculopathy:
 • Subacute onset of limb weakness, bladder/bowel dysfunction, muscle
lymphadenopathy, pulmonary ... Children with pulmonary ... and not direct infection ... #diagnosis #differential ... #TB #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework

Principles of HIV-Associated CNS Opportunistic Infections:
 •
HIV / AIDS - Differential ... status, and focal neurologic ... 80% sensitive Tuberculous ... - Hemorrhage, tuberculomas ... #differential #
Etiologies of pulmonary infections according to CT-scan patterns. 
CMV cytomegalovirus, GM galactomannan, HSV herpes simplex virus,
Etiologies of pulmonary ... infections according ... immunofluorescence, PCR ... Bacterial pneumonia - Tuberculosis ... ComputedTomography #Differential
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
toxo IgG • CNS PCR ... multiple lesions Infectious ... Bacterial • Tuberculosis ... Lesions #Brain #differential ... causes #radiology #neurology
Cytomegalovirus (CMV) in HIV-AIDS Patients
Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family.
CMV infection: virus isolation or detection
: Quantitative PCR ... pp65 antigenemia test ... 50 or less: • Neurologic ... Pancreatitis • Pulmonary ... AIDS #diagnosis #differential
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue - Differential ... • Malignancy Infectious ... Endocarditis • Tuberculosis ... Chronic Obstructive Pulmonary ... Disease Neurologic
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... allopurinol), Infection ... DAH, rule out infection ... , biopsy By Tess ... #diagnosis #nephrology