What’s Your Diagnosis? Managing the HIV-Infected Adult Patient in the Emergency Department
June 23, 2021


Posted by Andy Jagoda MD in: What's Your Diagnosis , trackback

Welcome to this month’s What’s Your Diagnosis Challenge!

Case Presentation: Managing the HIV-Infected Adult Patient in the Emergency Department

A 28-year-old HIV-infected man presents with productive cough and fever for 5 days…

  • The patient/ states that he has well-controlled HIV and says his last CD4 count a few weeks ago was 550 cells/mcL.
  • You wonder how to approach diagnosis and treatment for his respiratory infection in the setting of his HIV disease…

Conclusion

After reviewing guidelines, you realized that patients with well-controlled HIV on treatment more commonly develop the traditional pulmonary infections of immunocompetent patients. Streptococcus pneumoniae remains the most common cause of bacterial pneumonia, and treatment does not differ for an HIV-infected person with well-controlled disease, so you started him on amoxicillin-clavulanate and doxycycline.

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