Discussion
 
Symptoms & History

Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation
 

General Clinical Features

Opportunistic infections account for 80% of deaths in AIDS patients.
  • P. carinii pneumonia is the presenting symptom in 20% of patients, and at least 50% of patients develop the infection at some time.
  • P. carinii is very likely in patients with CD4+ cell <200/ul.
  • Candidiasis (thrush especially) is the most common fungal infection.
  • Disseminated Candidiasis is not common in patients with AIDS, and generally occurs when there is concomitant drug induced leukopenia.
  • CMV chorioretinitis occurs in approximately 25% of AIDS patients.
  • Approximately 40% of AIDS patients have evidence of disseminated Atypical Mycobacteria. In some autopsy studies, it approaches 80%.

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