HIV diarrhea: Difference between revisions
| Line 9: | Line 9: | ||
CD4>400 | CD4>400 | ||
* Consider routine pathogens causing | * Consider routine pathogens causing [[Diarrhea]] | ||
*Side effect of nelfinavir and ritonavir | |||
*Cryptosporidium parvum (brief course of illness) | |||
* | CD4<200 | ||
*Cryptosporidium parvum (chronic course of illness) | |||
*Mycobacterium avium complex (MAC) - infiltration of bowel assoc with malabsorption | |||
*Lymphoma | *Lymphoma | ||
*Kaposi | *Kaposi | ||
* | *Enteroaggregative Escherichia coli (EAEC) (can also affect immunocompetent children) | ||
*HIV can directly infiltrate bowel wall leading to diarrhea | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 19:56, 18 March 2015
Background
- Chronic diarrhea (over 28 days), can be presenting symptom of AIDS, or in countries without HAART
- Less common after introduction of HAART
Clinical Presentation
Differential Diagnosis
CD4>400
- Consider routine pathogens causing Diarrhea
- Side effect of nelfinavir and ritonavir
- Cryptosporidium parvum (brief course of illness)
CD4<200
- Cryptosporidium parvum (chronic course of illness)
- Mycobacterium avium complex (MAC) - infiltration of bowel assoc with malabsorption
- Lymphoma
- Kaposi
- Enteroaggregative Escherichia coli (EAEC) (can also affect immunocompetent children)
- HIV can directly infiltrate bowel wall leading to diarrhea