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differential management hiv infectiousdiseases pulmonary syndrome treatment abscess associated barre brain cytomegalovirus dementia disorder fungal guillain guillainbarre hand immune inflammatory
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 ... #HIV #AIDS #diagnosis
CNS Infection in HIV / AIDS - Differential Diagnosis Framework Principles of HIV-Associated CNS Opportunistic Infections: •
CNS Infection in ... HIV / AIDS - Differential ... Demyelinating disease caused ... - Generally >3 cm ... #diagnosis #AIDS
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent Multiple Ring-Enhancing Lesions: • Toxoplasmosis (CD4 < 100) • Other
Chorioretinitis • Diagnosis ... lesions • 80% with lung ... #differential #diagnosis ... #causes #radiology ... #neurology
Lung Infections in HIV - Differential Diagnosis Framework Disease by CD4 Count: Any CD4 Count: • Mycobacterium tuberculosis,
Lung Infections ... - Differential Diagnosis ... Coccidioidomycosis, CMV ... Lymphadenopathy, CNS ... #AIDS #pulmonary
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... polymicrobial infection ... Abscess Pathophysiology ... Cavitation > 6 cm ... #differential #causes
HIV-Associated Neurocognitive Disorder (HAND) Definition: HIV-Associated Neurocognitive disorders categories: • Asymptomatic neurocognitive impairment • Mild neurocognitive impairment • HIV dementia Pathophysiology: HIV frequently
HIV dementia Pathophysiology ... and infects the CNS ... Diagnosis: MRI ... disorder #dementia #AIDS ... #Neurology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
treatment of HIV/AIDS ... be present: • AIDS ... pleural effusions, CNS ... keratitis, iritis • CMV ... unintentional weight loss, nausea
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
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... that results in CNS ... causes need to ... , HIV, Hep A/B/CMV ... #management #neurology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
yeast • At risk: AIDS ... especially the CNS ... MC: CNS CSF: • ... Aspergillosis Pathophysiology ... change in the lungs
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