Fever in an HIV patient: Difference between revisions
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== Differential Diagnosis == |
== Differential Diagnosis == |
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* Routine infections: pneumonia, bacteremia |
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* [[Opportunistic infections in HIV|Opportunistic infections]] |
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** Disseminated [[Mycobacterium avium complex]] (most common cause in one US study<ref>Wendy S. Armstrong, Joel T. Katz, Powel H. Kazanjian, Human Immunodeficiency Virus—Associated Fever of Unknown Origin: A Study of 70 Patients in the United States and Review, ''Clinical Infectious Diseases'', Volume 28, Issue 2, February 1999, Pages 341–345, https://doi.org/10.1086/515138</ref>) |
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* MAC |
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** [[Pneumocystis jirovecii]] |
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** [[Histoplasmosis]], [[cryptococcosis]] |
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** [[Toxoplasmosis]] |
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* Non-infectious causes |
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** [[HLH]] |
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** [[Non-Hodgkin lymphoma]] |
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[[Category:HIV]] |
[[Category:HIV]] |
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Revision as of 18:09, 18 July 2022
Background
- Fever of unknown origin in this population includes temperatures >38.3ºC without diagnosis over 4 weeks (outpatient) or 3 days (inpatient) in patients with HIV, despite initial investigations including preliminary results of blood cultures at 48 hours
Differential Diagnosis
- Routine infections: pneumonia, bacteremia
- Opportunistic infections
- Disseminated Mycobacterium avium complex (most common cause in one US study[1])
- Pneumocystis jirovecii
- CMV disease
- Tuberculosis
- Histoplasmosis, cryptococcosis
- Toxoplasmosis
- Non-infectious causes
- ↑ Wendy S. Armstrong, Joel T. Katz, Powel H. Kazanjian, Human Immunodeficiency Virus—Associated Fever of Unknown Origin: A Study of 70 Patients in the United States and Review, Clinical Infectious Diseases, Volume 28, Issue 2, February 1999, Pages 341–345, https://doi.org/10.1086/515138
