11 results
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Diagnosis: Latent ... assay (IGRA) • PPD ... and Culture • CXR ... disease • Check CXR ... #TB #Diagnosis
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... failure, COPD, Lung ... +/- High res CT ... Fungal, AFB), TB ... #workup #diagnosis
Tuberculosis Overview

10 million new M. tuberculosis infections/year
Facultative intracellular rod-shaped bacteria
Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
Diagnosis: Latent ... assay (IGRA) • PPD ... and Culture • CXR ... disease • Check CXR ... #TB #Diagnosis
Tuberculin Skin Test Interpretation - Threshold for treatment
Induration cutoff >5mm:
 • Recent exposure to an individual
Threshold for treatment ... • Abnormal CXR ... carcinoma of head/neck/lung ... Underweight • Injection ... SkinTest #TST #diagnosis
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Toxoplasmosis (CD4 ... lesions • 80% with lung ... skin lesions, LAD ... including: M, avium, TB ... Bacterial • Tuberculosis
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... - Differential Diagnosis ... • CT: Halo sign ... infiltrates, mimicking TB ... #AIDS #pulmonary
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... Differential Diagnosis ... Mycobacterium: Tuberculosis ... #pulmonary #CXR ... #clinical #CT
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... seen • Chest CT ... westermani • Other: TB ... #Abscess #pulmonary
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Mycobacterium tuberculosis ... Kansasii: • Mimics TB ... Advanced HIV (CD4 ... patients with typical tuberculosis ... Imaging, high res CT
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
: TB, NTM, PNA ... Nasal polyps and signs ... in the adjacent lung ... high-resolution chest CT ... mycobacteria Treatment