Pulmonary Infections in HIV-AIDS
Bacterial: 
 • No ...
105
Description

Pulmonary Infections in HIV-AIDS

Bacterial: 

 • No organism identified, Strep pneumoniae, H. influenzae, S.aureus, Streptococcus Grp B, P.aeruginosa, S.anginosus, Moraxella catarrhalis, Enterobacterales, Legionella spp, Atypical infection (Mycoplasma pneumoniae, Chlamydophila pneumoniae), Rhodococcus equi, Bordetella pertussis, Nocardia asteroides

Viral:

 • CD4 > 200: Influenza, Adenovirus, RSV, Parainfluenza

 • CD4 < 200: CMV, HSV

Mycobacterial:

 • CD4 > 200: M.tuberculosis

 • CD4 < 200: M.tuberculosis, NTM (M.kansasii, MAC)

Fungal:

 • CD4 > 200: Endemic fungi (Coccidioides)

 • CD4 < 200: PCP, Aspergillus spp, Endemic fungi (Histoplasma, Cryptococcus, Coccidioides), Penicillium marneffei

Parasitic:

 • CD4 < 200 (Rarely): Toxoplasma gondii (CD4<50), Strongyloides stercoralis, Cryptosporidium parvum, Microsporidum

Non-infectious: 

 • CD4 > 200: Pulm embolism, Pulm edema, heart failure, COPD, Lung cancer, Primary pulm HTN, Lymphocytic or lymphoid interstitial pneumonitis, Abacavir hypersensitivity

 • CD4 < 200: Pulmonary Kaposi's Sarcoma, Lymphoma (Non-Hodgkin's in particular)

Evaluation:

Imaging (CXR +/- High res CT chest scan), CBC/diff, Blood and sputum cx (Bacterial, Fungal, AFB), TB PCR sputum, PCP DFA sputum, LDH, ABG, BDG, Serum Cryptococcal Ag, Urine Histo Ag, Respiratory viral panel, Consideration of early bronchoscopy



Infectious Diseases Fellows Network @ID_fellows



#Pulmonary #Infections #HIVAIDS #workup #diagnosis #evaluation #differential #CD4
Contributed by

Dr. Gerald Diaz
@GeraldMD
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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/
0 Comments

Related content