HIV pulmonary complications
Background
- Most common cause of pneumonia in HIV-infected patient is Strep pneumo (not PCP)
Differential Diagnosis
HIV associated conditions
- HIV neurologic complications
- HIV pulmonary complications
- Ophthalmologic complications
- CMV Retinitis
- Herpes Zoster Ophthalmicus
- Other
- HAART medication side effects[1]
- HAART-induced lactic acidosis
- Neuropyschiatric effects
- Hepatic toxicity
- Renal toxicity
- Steven-Johnson's
- Cytopenias
- GI symptoms
- Endocrine abnormalities
Evaluation
- ABG
- Sputum culture, gram stain, AFB
- Blood cultures
- CXR
Disposition
- Cannot use PORT score to disposition patients
References
- Gutteridge, David L MD, MPH, Egan, Daniel J. MD. The HIV-Infected Adult Patient in The Emergency Department: The Changing Landscape of the Disease. Emergency Medicine Practice: An Evidence-Based Approach to Emergency Medicine. Vol 18, Num 2. Feb 2016.
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