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A correction has been published: N Engl J Med 1993;329(19):1435.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 329:645-653 August 26, 1993 Number 9
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Case 34-1993— A 36-Year-Old Man with AIDS and Respiratory Failure
John L. Brusch, and Eugene J. Mark

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Presentation of Case

A 36-year-old man with the acquired immunodeficiency syndrome (AIDS) was admitted to the hospital because of increasing dyspnea and respiratory failure.

The patient was homosexual; his companion was known to have human immunodeficiency virus (HIV) antibodies, without clinically obvious disease. Thirty-two months before admission herpetic proctitis developed, and a test for HIV antibodies was positive; the CD4+ cell count was 194 per cubic millimeter. Acyclovir was given, resulting in control of the proctitis. Trimethoprim-sulfamethoxazole prophylaxis was begun, but a rash ensued and dapsone was substituted. Seborrheic dermatitis and thrush developed. During the next few months a chronic cough appeared, and . . . [Full Text of this Article]

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N Engl J Med 1994; 330:146-147, Jan 13, 1994. Book Reviews

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