AIDS fever of unknown origin: Difference between revisions

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#Chemistry
#Chemistry
#LFT
#LFT
#LDH
#RPR
#RPR
#UA/Cx
#UA/Cx

Revision as of 23:34, 5 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
    1. Aerobic, anaerobic, fungal
  8. Crypto
  9. Toxo
  10. Coccidiodomycosis
  11. CXR
  12. Stool cx / O&P
  13. CT
  14. 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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