AIDS fever of unknown origin: Difference between revisions

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***Also consider: endocarditis, lymphoma, histo, crypto
***Also consider: endocarditis, lymphoma, histo, crypto
**CD4 <100
**CD4 <100
***Also consider disseminated MAC
***Consider disseminated MAC
***Toxoplasmosis (CNS or pulmonary)


==Workup==
==Workup==

Revision as of 23:33, 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. 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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