ICU Vivas · Oncology & immunocompromised
Data viva — the opportunistic infection panel
A data viva on the opportunistic infection interpretation — the galactomannan, the beta-D-glucan, the CMV PCR, the CD4 count, and the management directed by each.
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CICMFFICMEDIC
Prompt
The microbiological data from an immunocompromised patient, to be interpreted.
Stimulus
You are shown the data from a post-HSCT patient with progressive dyspnoea and fever:
| Test | Value | (normal) |
|---|---|---|
| Galactomannan (serum) | 2.5 | (under 0.5) |
| Beta-D-glucan | 450 pg/mL | (under 60) |
| CMV PCR | 35,000 IU/mL | (undetectable) |
| BAL culture | Negative for bacteria | |
| Chest CT | Bilateral nodules with halo signs |
Interpret.[1]
References1ShowHide
- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.