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diagnosis differential infections management pulmonary activetb cns hiv hivaids infectiousdiseases latenttb neurology radiology tb abscess brain cd4 chestct diseases evaluation
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
diseases in HIV/AIDS ... complex • Nodular/Masses ... Actinomyces spp., NHL; Lung ... Consolidation: Pyogenic bacterial ... disease: Pyogenic bacterial
Pulmonary Infections in HIV-AIDS Bacterial: • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp
Infections in HIV-AIDS ... Bacterial: ... • CD4 > 200: M.tuberculosis ... failure, COPD, Lung ... and sputum cx (Bacterial
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
intracellular rod-shaped bacteria ... Response: • Most bacteria ... staining, NAA (PCR ... Treatment: Active ... Initiating Treatment
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... of PCN allergy ... Pathogens: • Aerobic Bacteria ... • Anaerobic Bacteria ... #differential #causes
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
toxo IgG • CNS PCR ... lesions • 80% with lung ... Infectious: • Bacterial ... • Tuberculosis ... differential #diagnosis #causes
Tuberculosis Overview 10 million new M. tuberculosis infections/year Facultative intracellular rod-shaped bacteria Multidrug-resistant tuberculosis (MDR-TB) accounts for 4.6% of
intracellular rod-shaped bacteria ... Response: • Most bacteria ... staining, NAA (PCR ... Treatment: Active ... Initiating Treatment
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
, Bacterial pneumonia ... , and fever BACTERIAL ... Pneumonia: • PVL ... factor • May cause ... Infections #HIV #AIDS
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
Infection in HIV / AIDS ... Antimicrobial treatment ... 80% sensitive Tuberculous ... - Hemorrhage, tuberculomas ... Demyelinating disease caused
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Non-Infectious Causes ... • Disseminated tuberculosis ... Leptospirosis Pel-Ebstein ... Yellow fever • Tuberculous ... Brucellosis • Liver or lung
Causes of Unintentional Weight Loss - Differential Diagnosis Malignancy - Tumor effect* (esp. Gl, lung, lymphoma)
Causes of Unintentional ... Gl, lung, lymphoma ... ) - Treatment ... Infections: HIV/AIDS ... , Tuberculosis
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