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differential management pulmonary infections infectiousdiseases radiology syndrome hematology ct endocarditis hepatology hepatopulmonary hivaids ild nejm product reactions rheumatology workup abscess
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... Lung Abscess - Clinical ... anemia • Sputum/Blood ... seen • Chest CT
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
in HIV/AIDS Patients ... complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... #differential #diagnosis ... #chestCT #radiology
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... Clinical history ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Diagnosis Framework ... Disease by CD4 ... • CT: Halo sign ... Chest pain, cough, bloody ... #AIDS #pulmonary
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
of invasive GAS disease ... GAS in 30% of cases ... body site (i.e., blood ... kidneys, liver, lung ... /ARDS, coagulopathy
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... mucogenicum • HIV ... Advanced HIV (CD4 ... Lung Disease: ... Imaging, high res CT
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Infections in HIV-AIDS ... failure, COPD, Lung ... CXR +/- High res CT ... scan), CBC/diff, Blood ... Infectious Diseases
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
to 8 years Clinical ... • Chronic lung ... lymphocytic interstitial lung ... Chest CT: • Ground-glass ... DDX - Other causes
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
in the adjacent lung ... high-resolution chest CT ... abnormal in adults • Blood ... , CCP, ANCA • HIV ... mycobacteria Treatment
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... , Pancreas, Gastric ... Microbiology: Blood ... • Blood cultures ... #management #cardiology
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