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diagnosis differential management hiv infectiousdiseases cns pulmonary syndrome treatment barre brain cytomegalovirus fungal guillain guillainbarre immune inflammatory iris lesions mycoses
Cytomegalovirus (CMV) in HIV-AIDS Patients Cytomegalovirus (CMV): double-stranded DNA virus, herpesvirus family. CMV infection: virus isolation or detection
CMV infection: virus ... patient with HIV and CD4 ... 50 or less: • Neurologic ... Retinitis (Most common cause ... • Endocrine: Infectious
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Abscess Pathophysiology ... Lung abscess ... Cavitation > 6 cm
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
lesions • 80% with lung ... multiple lesions Infectious ... Syphilis • Pyogenic Abscess ... differential #diagnosis #causes ... #radiology #neurology
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
HIV / AIDS - Differential ... tuberculomas, or abscesses ... Demyelinating disease caused ... - Generally >3 cm ... differential #diagnosis #AIDS
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... Coccidioidomycosis, CMV ... high fever CMV ... factor • May cause ... #AIDS #pulmonary
Guillain-Barre Syndrome - Summary Acute AIDP that presents with rapidly progressive flaccid weakness Epidemiology: • 1-2 cases/100,000 per
Summary Acute AIDP ... Guillain-Barre Pathophysiology ... response preceding infection ... jejuni - HIV, CMV ... management #treatment #neurology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
treatment of HIV/AIDS ... be present: • AIDS ... osteomyelitis, cutaneous abscesses ... keratitis, iritis • CMV ... unintentional weight loss, nausea
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
yeast • At risk: AIDS ... Aspergillosis Pathophysiology ... Sinusitis • Brain abscess ... change in the lungs ... nails, bronchi, lungs
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