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 | ||
## | ##Aerobic, anaerobic, fungal | ||
#Crypto | #Crypto | ||
#Toxo | #Toxo | ||
# | #Coccidiodomycosis | ||
#CXR | #CXR | ||
#Stool cx / O&P | #Stool cx / O&P | ||
#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
- CD4 >500
Workup
- CBC
- Chemistry
- LFT
- RPR
- UA/Cx
- Blood cx
- Aerobic, anaerobic, fungal
- Crypto
- Toxo
- Coccidiodomycosis
- CXR
- Stool cx / O&P
- CT
- LP
- Cell count, protein, glucose, VDRL, cryptocoocal antigen, cytology, toxo, CMV, JC, EBV
See Also
Source
Tintinalli