AIDS fever of unknown origin: Difference between revisions
Line 20: Line 20:
#UA/Cx
#UA/Cx
#Blood cx
#Blood cx
##Aerobic, anaerobic, fungal
#*Aerobic, anaerobic, fungal
#Crypto
#Crypto
#Toxo
#Toxo
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#Stool cx / O&P
#Stool cx / O&P
#CT
#CT
#LP
#[[LP]]
##Cell count, protein, glucose, VDRL, cryptocoocal antigen, cytology, toxo, CMV, JC, EBV
#*Cell count, protein, glucose, VDRL, cryptocoocal antigen, cytology, toxo, CMV, JC, EBV


==See Also==
==See Also==

Revision as of 05:05, 6 April 2015

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
      • Consider disseminated MAC
      • Toxoplasmosis (CNS or pulmonary)

Workup

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

See Also

HIV - AIDS (Main)

Source

Tintinalli

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