- Pearl from Annie Luetkemeyer: For all patients with AIDS presenting with acute illness, remember to ask about visual changes, neuro symptoms, joint symptoms (especially if h/o IVDU), and complete a full lymph node and skin exam, this will help guide your workup!
- The seroprevalence of HSV-2 infections in HIV-infected patients is high (60-95 percent), and genital ulcer disease can be more frequent, severe, and of longer duration
- tuberculous UTI:
- usually presents with malaise and dysuria/gross hematuria
- can also present asymptomatically with pyuria and/or microscopic hematuria
- secondary bacterial infections can occur in up to 50% of renal TB cases
- CT shows evidence of upper and lower urinary tract involvement with fibrosis, hydronephrosis, and ureteral strictures
Gupta R, Warren T, Wald A. Genital herpes. Lancet 2007;370(9605):2127.
Abbara A, Davidson RN; Etiology and Managment of genitourinary tuberculosis. Nat Rev Urol. 2011 Dec 9;8(12):678-88.