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pulmonary betadglucan galactomannan abscess biomarkers causes cd4 chest contusion ct ctchest evaluation falsepositives hivaids infections laboratory management miliary nejm oleothorax
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
, Aspergillus spp ... failure, COPD, Lung ... Evaluation: Imaging (CXR ... HIVAIDS #workup #diagnosis ... #evaluation #differential
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan Beta-D-Glucan: • Polysaccharide cell wall component of many fungi • Pathogens:
cut-offs defined in clinical ... BAL GM does not differentiate ... - Frozen ice-pops ... Galactomannan #diagnosis ... #comparison
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives 1,3-Beta-D-Glucan • Cell wall component of many fungi
Other +s: PCP, Histo ... cut-offs defined in clinical ... >90% (In most clinical ... in BAL does not differentiate ... result in + as long
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... Lung Abscess - Clinical ... Blood cultures • CXR ... early disease) • CXR ... Prevotella • Fungal
Miliary Pattern - Chest Radiology • Miliary opacities are scattered, small (1 -4 mm) nodules •
Pattern - Chest Radiology ... throughout the lungs ... - Endemic fungi ... #differential # ... #CXR #clinical
Incidental Finding of Oleothorax - A chest radiograph showed a dense opacity in the upper area
area of the left lung ... The differential ... diagnosis for this ... #Clinical #PCC # ... Radiology #CXR #
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... a chest x-ray (CXR ... #Radiology #CTChest ... #Lung #Pulmonary
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