HIV-related pneumonia: The Daily PANCE Blueprint

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HIV-related pneumonia: The Daily PANCE Blueprint

In a patient with HIV, CMV pneumonia typically occurs once the CD4 count falls below which of the following?

A. 100 cells/mm3
B. 250 cells/mm3
C. 200 cells/mm3
D. 50 cells/mm3
E. 300 cells/mm3

Answer and topic summary

The answer is D. 50 cells/mm3

CMV pneumonia is a viral pneumonia that occurs in immunocompromised patients (e.g., HIV patients with CD4 < 50 cells/mm3). Clinical features include fever, cough, shortness of breath, and bilateral infiltrates on CXR. Treatment is IV ganciclovir (or IV foscarnet) and IVIG therapy until their CD4 count >100 cells/mm3 and symptoms have improved.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Pulmonary ⇒ Pneumonias (PEARLS) ⇒ HIV-related pneumonia

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