11 results
Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Pulmonary Infections ... failure, COPD, Lung ... Evaluation: Imaging (CXR ... +/- High res CT ... Diseases Fellows
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... anti-GBM ab, ANA, C3, C4 ... , anti-CCP • CXR ... resolution chest CT ... #differential #
Miliary Pattern - Chest Radiology
 • Miliary opacities are scattered, small (1 -4 mm) nodules
 •
throughout the lungs ... thyroid, melanoma, renal ... #diagnosis #pulmonary ... #CXR #clinical ... #CT
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
- HIV infection ... due to lung disease ... lung disease Other ... mediastinitis, chronic renal ... Classification #Diagnosis #Differential
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
): Pulmonary: ... mucogenicum • HIV ... Advanced HIV (CD4 ... Imaging, high res CT ... #differential #
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
Lung Infections ... in HIV - Differential ... • CT: Halo sign ... #Infections #HIV ... #AIDS #pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Pulmonary Renal ... Other tests: • CT ... confirm DAH, r/o infection ... sparing of the lung ... #differential #
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... ) • CXR upright ... seen • Chest CT ... #Abscess #pulmonary ... #differential #
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 ... #differential #
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Infectious: • Pre-existing ... verrucous) • Lung ... , Pancreas, Gastric ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential