A 34-Year-Old Man With HIV/AIDS and a Cavitary Pulmonary Lesion.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 34246386.
- Also identified by DOI 10.1016/j.chest.2021.01.086 and PMC identifier 8449005.
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Abstract
A 34-year-old man presented to a community hospital with fever and fatigue for 3 days and was found to be febrile and tachycardic with a cavitary pulmonary lesion and paratracheal adenopathy on CT imaging. One month before, he had presented to his primary care provider with a palmar rash; he had been diagnosed and treated for syphilis and was also diagnosed with HIV. He had a CD4 count of 106 cells/μL and an HIV viral load of 1,290,000 copies/mL. Pneumocystis prophylaxis with trimethoprim-sulfamethoxazole and antiretroviral treatment with only tenofovir and emtricitabine therapy were started 2 weeks before presentation.
Medical subject headings
- Acquired Immunodeficiency Syndrome
- Cryptococcus neoformans
- HIV
- HIV Infections
- Lung
- Lung Diseases, Fungal