A 32-Year-Old Man With HIV Infection, Pleural Effusions, and Lymphadenopathy.

Xian, Jonathan Z; Cherian, Sujith V; Golardi, Natalia; Estrada-Y-Martin, Rosa M · Chest · 2018

case_report · Level V

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Abstract

A 32-year-old man presented with fever, nonproductive cough, diffuse lymphadenopathy, and polyarticular pain for 2 weeks. His medical history included HIV diagnosed 10 years ago, anal intraepithelial neoplasia, Kaposi sarcoma, and herpes simplex virus-2 infection. The patient was not receiving antiretroviral therapy or antibiotic prophylaxis, and his last known CD4 count a month before was 45 cells/mm<sup>3</sup>. He was prescribed a course of doxycycline by his primary care physician, which did not improve his symptoms.

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