Infections in AIDS

Bugs Causing Infection in HIV+ Adults

BacteriaDiseaseNotes
Mycobacterium avium-intracellulareTB-likeEspecially CD4 < 50
Bartonella henselaeBacillary angiomatosisSuperficial vascular proliferation
VirusDiseaseNotes
CMVCMV retinitis, pneumonia“Cotton-wool spots” on fundoscopic exam in retinitis, Cowdry type A intranuclear inclusion bodies
EBVOral hairy leukoplakia (OHL), Non-Hodgkin’s lymphoma  —
HPVSquamous cell carcinomaAnus or cervix
HHV-8Kaposi’s sarcoma —
JC virusProgressive multifocal leukoencephalopathy (PML)White matter damage in CNS, demyelination
FungiDiseaseNotes
Histoplasma capsulatumHistoplasmosis (pneumonia), hepatosplenomegaly, feverDisseminated disease only in immunocompromised
Candida albicansThrush, esophagitisWhite plaque on oral mucosa
Cryptococcus neoformansMeningitis, encephalitisMost common meningitis in AIDS
Aspergillus fumigatusInvasive aspergillosisPleuritic pain, hemoptysis
Pneumocystis jiroveci“PCP” (“P. carinii” pneumonia)Especially CD4 < 200
ProtozoaDiseaseNotes
CryptosporiDiumDiarrheaAcid-fast cysts in stool
Toxoplasma gondiiBrain abscessesRing-enhancing lesions