Pneumocystic Pneumonia (PP) + Bronchoalveolar Lavage Flashcards
1
Q
Commonest AIDS-defining illness + causative organism?
A
Pneumocystis pneumonia
- fungus pneumocystis jiroveci (previously carinii)
2
Q
Presentation of PP?
A
Dry cough Fever SoB Weight loss Night sweats
3
Q
Diagnosis of PP?
A
Bronchoalveolar lavage (highly sensitive & 90% specific, 95% with biopsy)
4
Q
Notable radiological feature of PP?
A
Perihilar ground-glass pattern
5
Q
What is an additional advantage of bronchoalveolar lavage, besides specificity for PP?
A
Will also be specific in the diagnosis of other HIV-related pulmonary diseases e.g. TB
6
Q
Treatment of PP?
A
Co-trimoxazole (trimethoprim + sulphamethoxazole)
7
Q
How does management of PP differ in HIV patients?
A
HIV patients with a low CD4 (<200) receive prophylaxis for PP
- co-trimoxazole or dapsone
