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differential pulmonary infections management infectiousdiseases lung opportunistic abscess cardiology cd4 chestct cns common cvid disease endocarditis evaluation hematology hypogammaglobulinemia idsa
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 ... ID_fellows #HIVAIDS ... #differential #diagnosis
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... head and neck, pancreas ... biliary, renal, lung ... concentration PET-CT ... #phenotypes #workup
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 ... Infectious Diseases ... #workup #diagnosis
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
in the adjacent lung ... of the affected lung ... high-resolution chest CT ... , CCP, ANCA • HIV ... mycobacteria Treatment
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... • Most common cause ... seen • Chest CT ... hemorrhage • Treatment ... #differential #causes
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
• Chronic lung ... Bronchiectasis ... Chest CT: • Ground-glass ... DDX - Other causes ... Epstein-Barr syndrome, HIV
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Diagnosis Framework ... Disease by CD4 ... • CT: Halo sign ... factor • May cause ... #AIDS #pulmonary
Nontuberculous Mycobacteria (NTM) Infections Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... Centrilobular nodules - Bronchiectasis ... mucogenicum • HIV ... Lung Disease: ... Imaging, high res CT
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
/ AIDS - Differential ... Antimicrobial treatment ... enhancement on CT ... Demyelinating disease ... caused by the JC
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
mononeuritis multiplex WORKUP ... Other tests: • CT ... Goodpasture's cause ... sparing of the lung ... #management #treatment
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