AIDS fever of unknown origin: Difference between revisions

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==Background==
*Sources of fever vary by stage of disease:
**CD4 >500
***Work-up similarly to nonimmunocompromised pts
**CD4 200-500
***Early bacterial respiratory infection most common
**CD4 <200
***PCP, central line infection, MAC, TB, CMV, drug fever, sinusitis
***Also consider: endocarditis, lymphoma, histo, crypto
**CD4 <100
***Also consider disseminated MAC
==Workup==
==Workup==
#CBC
#CBC
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#UA/Cx
#UA/Cx
#Blood cx
#Blood cx
##Aerobes, anaerobes, fungal
##Aerobic, anaerobic, fungal
#Crypto antigen
#Crypto
#Toxo
#Toxo
#Coccidioides
#Coccidiodomycosis
#CXR
#CXR
#Stool cx / O&P
#Stool cx / O&P
#urine fungus / myocobacteria
#sputum smear culture fungus /myco
#CT
#CT
#LP
#LP
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==See Also==
==See Also==
[[HIV - AIDS (Main)]]
[[HIV - AIDS (Main)]]
==Source==
Tintinalli


[[Category:ID]]
[[Category:ID]]

Revision as of 21:13, 28 November 2011

Background

  • Sources of fever vary by stage of disease:
    • CD4 >500
      • Work-up similarly to nonimmunocompromised pts
    • CD4 200-500
      • Early bacterial respiratory infection most common
    • CD4 <200
      • PCP, central line infection, MAC, TB, CMV, drug fever, sinusitis
      • Also consider: endocarditis, lymphoma, histo, crypto
    • CD4 <100
      • Also consider disseminated MAC

Workup

  1. CBC
  2. Chemistry
  3. LFT
  4. RPR
  5. UA/Cx
  6. Blood cx
    1. Aerobic, anaerobic, fungal
  7. Crypto
  8. Toxo
  9. Coccidiodomycosis
  10. CXR
  11. Stool cx / O&P
  12. CT
  13. LP
    1. Cell count, protein, glucose, VDRL, cryptocoocal antigen, cytology, toxo, CMV, JC, EBV

See Also

HIV - AIDS (Main)

Source

Tintinalli

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