13 results
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
) General: Fever ... Photosensitivity, Butterfly rash ... , Vasculitis, Purpura ... effusion, Restrictive lung ... Demyelinating syndromes
ID Approach to Fever and Rash - Diagnostic Algorithm
Central Maculopapular (most common):
Measles, Parvovirus 819 / EBV,
and Rash - Diagnostic ... Algorithm Central ... 819 / EBV, Acute HIV ... Parvovirus B19 (PPGSS), Vasculitis ... angiomatosis, Sweet syndrome
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
mucositis - Rash ... Presentation - Systemic Symptoms ... : • Fevers • ... , and SLE) • Urinalysis ... Cryoglobulins • HIV
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
in HIV - Differential ... Pneumonia: • 3 syndromes ... of a "flu-like syndrome ... Constitutional symptoms ... , rales, interstitial
Acute Retroviral Syndrome
Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection

 •
Acute Retroviral Syndrome ... Acute Retroviral Syndrome ... (45%) • Fever ... (28%) • Skin rash ... • New onset SLE
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
SLE (Systemic Lupus ... weight loss, and fever ... Induced Lupus: • Symptoms ... to: Arthritis, Fever ... and leukemia • Lung
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
diseases, such as SLE ... Presentation: Systemic Symptoms ... : • Fevers • Fatigue ... , mucositis • Rash ... • Progressive symptoms
Rhombencephalitis
BACTERIAL
- Listeria (biphasic illness with bulbar dysfunction occurring later)
- Mycobacterium tuberculosis
- Pneumococcus
- Brucella
- Borrelia (Lyme Disease)
-
Herpes Viruses (HSV ... , CMV, VZV) - Rabies ... Toxoplasmosis AUTOIMMUNE/VASCULITIS ... (bulbar symptoms ... - small cell lung
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
or Haverhill fever ... of necrotizing vasculitis ... cancers, including lung ... include: infections (HSV ... PrathitKulkarni #Erythemas #comparison
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... • Autoimmune (SLE ... night sweats, fever ... valvular disease • Vasculitis ... Persistent bacteremia/fevers