- Hyperthyroidism in Pregnancy12:29Paper Chase #1 | Shortened title: Sertraline in CKD Patients: CAST Trial6:02IV Fluid Selection - Part 1 (Resuscitative IV Fluids)Free Chapter23:28Paper Chase #2 | Low-Fat vs Low-Carb Diet on Weight Loss: DIETFITS Trial4:03Treating Friends and Family17:43Does This Cough Need Antibiotics?17:04Paper Chase #3 | Aspirin or Rivaroxaban after Arthroplasty4:26Trigeminal Neuralgia13:41Psychological Safety15:31Paper Chase #4 | Neonatal Rotavirus Vaccine at Birth3:55Fever in the Patient with HIV18:37Things I Do But Should I: Bumps in the Eye8:44Paper Chase #5 | Prevalence of PE in Syncope5:03Abnormal Uterine Bleeding14:31The Summary16:39
Fever in HIV-AIDS patients remains a challenge. HAART has contributed to a decrease in its incidence but has not altered the spectrum of causes. It is a common cause of admission to hospitals and is associated with substantial cost and significant mortality. In most cases fever of unknown origin in the context of HIV is a result of occult opportunistic infection and physicians should take into consideration differing geographic prevalences of infectious pathogens. If no infectious cause can be demonstrated, AIDS-related lymphoproliferative diseases and drug fever should be considered along with an number of less common etiologies. The diagnostic work-up is initially directed toward infection, which remains the single leading etiology. The single most important early investigation is blood culture. Bone marrow examination, liver biopsy, and newer nuclear imaging techniques are useful further diagnostic modalities. An algorithm for the diagnostic approach and management of patients with HIV-associated fever of unknown origin is presented.