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Micro HIV
Question | Answer |
---|---|
low grade fevers, cough, hepatosplenomegaly, tongue ulcer | histoplasma |
fluffy white cottage cheese lesions | Candida causes thrush |
superficial vascular proliferation | bartonella |
biopsy reveals neutrophilic inflammation | bartonella henselae |
chronic watery diarrhea | cryptosporodium |
acid fast cysts seen in stool esp when CD4 < 200 | cryptosporidiium |
encephalopathy in HIV | JV virus reactivation (cause of PML) |
due to reactivation of a latent virus; results in demyelination, CD4 < 200 | JC virus reactivation |
abscesses in HIV brain | toxoplasma gondii |
meningitis in HIV | cryptococcus (may also cause encephalitis) |
india ink stain reveals yeast with narrow based budding and large capsule CD4 < 50 | cryptococcus neoformans (may also cause encephalitis) |
retinitis in HIV | CMV |
cotton wool spots on funduscopic exam and may also occur with esophagitis, CD4 < 50 | CMV |
HIV dementia | directly associated with HIV must differentiate from other causes |
superficial neoplastic proliferation of vascularture | HHV (causes kaposi's sarcoma), do not confused with B. henselae |
biopsy reveals lymphocyte inflammation | HHV-8 (kaposi's) |
hairy leukoplakia | EBV |
often on lateral tongue of HIV | EBV |
non hodgkin's lymphoma (large cell type) | EBV often on oropharynx (waldeyer's ring) |
squamous cell carcinoma | HPV often in anus (MSM) cervix (females) |
primary CNS lymphoma | EBV focal or multiple differentiate from toxo |
interstitial pneumonia | CMV |
biopsy reveals cells with intranuclear (owl eye) inclusion bodies | CMV |
invasive aspergillosis | Aspergillus |
pleuritc pain, hemoptysis, infiltrates on imaging | aspergillus |
peumonia in HIV | esp with CD4 <200 PCP |
TB like disease | esp with CD4 < 50 MAI |
oval yeast cells within macrophages CD4 <100 | HIstoplasma |
pseudohyphae, commonly oral if CD4 < 400 esphageal if CD4 < 100 | Candida |