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1/ Happy Opportunistic Monday #IDtwitter #IDfellows! Sharing another interesting learning case. Written by @johnhannamd and @KrutiYagnikDO 
2/ What is the best next therapeutic step?
3/ Differential diagnosis for suspected meningoencephalitis without CNS mass lesion in an HIV patient with low CD4 count include:
-Bacterial meningitis
-Neurosyphilis
-TB
-Cryptococcus
-Other endemic fungi
-HSV
-VZV
-CMV
-PML (JC virus)
-HIV encephalopathy
-Bacterial meningitis
-Neurosyphilis
-TB
-Cryptococcus
-Other endemic fungi
-HSV
-VZV
-CMV
-PML (JC virus)
-HIV encephalopathy
1/ Happy Opportunistic Monday #IDtwitter #IDfellows; another interesting case and learning opportunity, written by @johnhannamd and @KrutiYagnikDO
2/ Following tissue diagnosis, what is the best next step in management?
3/ #IDpearls
Leading differential diagnosis of pulmonary infiltrates and skin lesions in HIV patients include:
Typical bacterial
TB, NTM
Cryptococcus, histoplasmosis, other dimorphic fungi
Lymphoma, KS
Leading differential diagnosis of pulmonary infiltrates and skin lesions in HIV patients include:
Typical bacterial
TB, NTM
Cryptococcus, histoplasmosis, other dimorphic fungi
Lymphoma, KS
1/ Happy Opportunistic Monday #IDtwitter #IDfellows! Here is another interesting learning case for you all. Written by @KrutiYagnikDO and @johnhannamd
2/ While awaiting pending work-up, what is the best next step?
3/ #IDpearls
Major differential in this newly diagnosed HIV patient, presenting with brain ring enhancing lesions:
-CNS toxoplasmosis
-Primary CNS lymphoma (usually EBV+)
-TB
-Cryptococcus
-brain abscess
-Nocardia
-Chagas (given visit to Peru)
-Malignancy
Major differential in this newly diagnosed HIV patient, presenting with brain ring enhancing lesions:
-CNS toxoplasmosis
-Primary CNS lymphoma (usually EBV+)
-TB
-Cryptococcus
-brain abscess
-Nocardia
-Chagas (given visit to Peru)
-Malignancy
1/ Hello #IDtwitter #IDfellows and Welcome to “Opportunistic Mondays”! For the next few Mondays, @KrutiYagnikDO and @johnhannamd will be presenting interesting OI cases with major teaching points. Enjoy!
2/ What is the drug of choice for his pneumonia?
3/ + HSV 2 swab from buttock lesion with lymphopenia should prompt HIV screening
HIV ab returned positive; HIV-1 with VL of 790k and CD4 of 10 (5%)
#IDpearls: Pneumocystis Pneumonia (PJP) is the most common respiratory OI in HIV with CD4<200, not on PPx.
HIV ab returned positive; HIV-1 with VL of 790k and CD4 of 10 (5%)
#IDpearls: Pneumocystis Pneumonia (PJP) is the most common respiratory OI in HIV with CD4<200, not on PPx.
My 3rd week of general ID @UNMC_ID has come to a close with #PasteurellasFellas, led by the wonderful @KellyCawcuttMD! Really appreciate her critical care insight on ID. We had some fascinating discussions this week. Time for another recap! #IDTwitter #IDPearls
A fundamental question this week was TB or not TB (sorry, not sorry for the pun @bergmanscott)
ncbi.nlm.nih.gov/pmc/articles/P…
ncbi.nlm.nih.gov/pmc/articles/P…
We discussed the differential diagnosis of miliary nodules on imaging. TB leads the list, but dimorphic fungi (histo, blasto, cocci) can be just as common in endemic areas. Malignancy as well.
atsjournals.org/doi/pdf/10.151…
ncbi.nlm.nih.gov/pmc/articles/P…
atsjournals.org/doi/pdf/10.151…
ncbi.nlm.nih.gov/pmc/articles/P…
