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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 329:1946-1954 December 23, 1993 Number 26
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Case 51-1993— A 36-Year-Old Man with AIDS, Increase in Chronic Diarrhea, and Intermittent Fever and Chills
Christine A. Wanke, and Anthony R. Mattia

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Presentation of Case

A 36-year-old man was admitted to the hospital with the recent onset of fever spikes and an increase in chronic diarrhea.

The patient was known to have the acquired immunodeficiency syndrome (AIDS), with the first demonstration of a positive test for antibodies to human immunodeficiency virus (HIV) five years earlier. Two or three years before admission chronic sinusitis developed and was followed by chronic diarrhea that was believed to be due to cryptosporidiosis. Twenty-eight months before entry he was treated for cryptococcal meningitis with amphotericin B, and he later began long-term suppressive treatment with fluconazole by mouth. Seventeen months before . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Christine A. Wanke's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References




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