Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
Compatible syndrome + MRI ... splenomegaly Other infections ... multiple lesions Infectious ... differential #diagnosis #causes ... #radiology #neurology
IDSA Recommendations for Preventing and Treating Bacterial Enteric Infections in HIV-AIDS
Preventing Bacterial Enteric Illness:
 β€’ Antimicrobial
Bacterial Enteric Infections ... β€’ In rare cases ... IDSA #Prevention #Treatment ... #management #opportunistic ... #pharmacology
CSF Penetration of Antimicrobials

Despite the poor CSF penetration, beta-lactams have the most research documenting successful treatment
other antibiotic classes ... infections 3 overcome ... infections 5 however ... of CNS infections ... InfectiousDiseases #Pharmacology
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
if SSTI or port infection ... abdominal pain; full infectious ... Treat underlying cause ... interventional radiology ... ) - Treatment:
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ancestry, LGE on MRI ... auto-transfusion and relief ... diagnosis #management #cardiology ... #treatment
IDSA Recommendations for Treating Bartonella Infections in HIV-AIDS
Preferred Therapy
For Bacillary Angiomatosis, Peliosis Hepatis, Bacteremia, and Osteomyelitis:
Involving the CNS ... course of primary treatment ... IDSA #Prevention #Treatment ... #management #opportunistic ... #pharmacology
IDSA Recommendations for Preventing and Treating Varicella Zoster Virus (VZV) Infections in HIV-AIDS
Pre-Exposure Prevention of VZV
vaccine virus, treatment ... varicella vaccine Treatment ... Uncomplicated Cases ... #management #opportunistic ... #pharmacology
IDSA Recommendations for Preventing and Managing Microsporidiosis in HIV-AIDS
Preventing Chronic Microsporidiosis:
 β€’ Because chronic microsporidiosis occurs
Caused by Enterocytozoon ... : β€’ The best treatment ... IDSA #Prevention #Treatment ... #management #opportunistic ... #pharmacology
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
Histoplasma Capsulatum Infections ... histoplasmosis (>10 cases ... IDSA #Prevention #Treatment ... #management #opportunistic ... #pharmacology
Anti-Pseudomonal - Antibiotics Class Overview

Pseudomonas aeruginosa is a non-fermenting Gram-negative bacillus that inhabits a variety of
soil, water) and causes ... patients (common cause ... empiric Pseudomonas treatment ... Polymyxin B(IV) #Pharmacology ... #Antibiotics #Review