What are the pulmonary findings in pediatric HIV infection?

Updated: Mar 05, 2020
  • Author: Delia M Rivera, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

Lung examination is important, and good documentation of findings is required at each visit. Chronic lung disease may produce baseline findings of crackles and decreased regional breath sounds.

Changes in the lung findings are important to note because pneumonia is common in children with HIV infection. Pneumonia may not be obvious during the examination, and many children have few symptoms. For example, Mycoplasma infection may not cause a high temperature, and Pneumocystis jiroveci infection may cause only tachypnea, fever, and hypoxemia.

Changing findings at lung examination may also signify worsening of chronic lung disease, lymphoid interstitial pneumonitis, or tuberculosis.


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