29 results
Initiation of ART in HIV patients with Opportunistic Infections
 • Pulmonary TB and CD4 cell count
Initiation of ART in HIV ... • Pulmonary TB ... • Pulmonary TB ... of starting OI treatment ... Therapy #HAART #HIV
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
bacteremia, and miliary ... Hematogenous spread -> Miliary ... NAA (PCR) and Culture ... Tuberculosis Treatment ... Initiating Treatment
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
bacteremia, and miliary ... Hematogenous spread -> Miliary ... NAA (PCR) and Culture ... Tuberculosis Treatment ... Initiating Treatment
Tuberculin Skin Test Interpretation - Threshold for treatment
Induration cutoff >5mm:
 • Recent exposure to an individual
Threshold for treatment ... individual with active TB ... consistent with old TB ... disease • HIV
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
of HIV/AIDS patients ... • 10-20% of HIV-infected ... (<100), except TB ... a decrease in HIV ... TB - Lymphadenitis
IDSA Recommendations for Treating Mycobacterium Tuberculosis Infection and Disease in HIV-AIDS
Treating LTBI (to prevent TB disease)
Indications:
and Disease in HIV-AIDS ... prior history of treatment ... collecting specimen for culture ... tests, empiric treatment ... for HIV-related
Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
, IBD in HIV - IBD ... Algorithm HIV ... + IBD Treatment ... Intestinal TB ... NJHL lymphoma, TB
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
arthrocentesis w/ fluid culture ... arthritis diagnosis Treatment ... Ceftriaxone • HIV ... patient admitted for treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
hemorrhage • Treatment ... continue antibiotic treatment ... several months of treatment ... westermani • Other: TB ... causes #management #treatment
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Obtain bacterial culture ... fluid in blood culture ... • First-line: IV ... GI bleed: use IV ... #prophylaxis #treatment