Core EM - Emergency Medicine Podcast

Episode 136.0 HIV Related Infections in the ED

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This week we discuss some pearls and pitfalls when caring for HIV+ patients in the ED.

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Tags: AIDS, HIV, Infectious Diseases, PCP, TB, Tuberculosis
Show Notes

HIV Associated Infections Based on CD4 Count (cooperhealth.org)

Total Lymphocyte Count  = (% lymphocytes x WBC count)/100

  • TLC 1200 cells/mm3 correlated with CD4 count of < 200 cells/mm3 with a maximal sensitivity of 72.2%, and specificity of 100%
  • TLC1500 cells/mm3 correlated with CD4 count of 200 – 499 cells/mm3 with a maximal sensitivity of 96.7% and specificity of 100%
  • TLC 1900 cells/mm3 correlated with CD4 count of ≥ 500 cells/mm3 with a maximal sensitivity of 98.5% and specificity of 100%

    • Show Notes

    REBEL EM: REBEL Cast Episode 1 – Total Lymphocyte Count as a Surrogate Marker for CD4 Count

    LITFL: HIV and AIDS

    References

    Obirikorang C et al. Total Lymphocyte Count as a Surrogate Marker for CD4 Count in Resource-Limited. BMC Infectious Diseases Journal 2012; 12 (128): 1 – 5. PMID: 22676809


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