HIV neurologic complications: Difference between revisions
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**[[Progressive multifocal leukoencephalopathy]] | **[[Progressive multifocal leukoencephalopathy]] | ||
**[[Primary CNS lymphoma]] | **[[Primary CNS lymphoma]] | ||
**[[CMV neurologic disease]] | |||
*Increased risk of CNS infections from other organisms | |||
*Susceptible to same additional neuro pathology as HIV negative patients, as well | |||
==Clinical Features== | ==Clinical Features== | ||
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==Evaluation== | ==Evaluation== | ||
*CT Head with out contrast | *[[head CT|CT Head with out contrast]] | ||
*Consider [[brain MRI]] | |||
*[[LP]] | *[[LP]] | ||
**Regular studies + (India ink, viral culture, fungal culture, toxo, crypto, coccidio) | **Regular studies + (India ink, viral culture, fungal culture, toxo, crypto, coccidio) | ||
==Management== | ==Management== | ||
*Per specific pathology | |||
==Disposition== | ==Disposition== | ||
Latest revision as of 03:16, 3 October 2019
Background
- Specific Conditions:
- Increased risk of CNS infections from other organisms
- Susceptible to same additional neuro pathology as HIV negative patients, as well
Clinical Features
Differential Diagnosis
HIV associated conditions
- HIV neurologic complications
- HIV pulmonary complications
- Ophthalmologic complications
- Other
- HAART medication side effects[1]
- HAART-induced lactic acidosis
- Neuropyschiatric effects
- Hepatic toxicity
- Renal toxicity
- Steven-Johnson's
- Cytopenias
- GI symptoms
- Endocrine abnormalities
Evaluation
- CT Head with out contrast
- Consider brain MRI
- LP
- Regular studies + (India ink, viral culture, fungal culture, toxo, crypto, coccidio)
Management
- Per specific pathology
Disposition
See Also
External Links
References
- ↑ Gutteridge, David L MD, MPH, Egan, Daniel J. MD. The HIV-Infected Adult Patient in The Emergency Department: The Changing Landscape of the Disease. Emergency Medicine Practice: An Evidence-Based Approach to Emergency Medicine. Vol 18, Num 2. Feb 2016.