Recognising HIV one ED visit at a time By the time HIV is diagnosed, the patient may already have passed through the emergency department more than once. The median interval between acquiring HIV and diagnosis is around three years, and…
OVERVIEW HIV = retrovirus infection -> infection of T-helper lymphocytes (CD4+) and progressively destroys them -> immunosuppression 40 million patients in the world 2 types: HIV 1 and HIV 2 (West Africa) modes of transmission: sexual intercourse, mother to child…
Consider a 45 year-old HIV positive male with right hemiparesis and fluctuating conscious state. His CT head is shown below.
Pneumocystis pneumonia: form of pneumonia caused by the yeast-like fungus Pneumocystis jirovecii, most commonly as an opportunistic infection in the immunosuppressed
A 17 year old female with a background history of HIV presents with a 3 day history of fevers, chills and rigors. Her admission chest X-rays are shown below:
Tropical Travel Trouble is a series of clinical cases that you may see in the tropics or your own ED from the dreaded returned traveller. HIV
Part 1 of 3 of our mega tropical series covering Malaria, TB and HIV. Remember there is not always a unifying diagnosis...