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A 38-year-old man with the acquired immunodeficiency syndrome (AIDS) was admitted to the hospital because of abdominal pain and bleeding from the rectum.
Two-and-a-half years earlier Pneumocystis carinii pneumonia had developed, and the diagnosis of AIDS was established. The patient recovered and entered a study that compared zidovudine with didanosine. Eight months before entry he returned to the hospital because of chronic fatigue and was found to have cytomegalovirus colitis. Ganciclovir was begun, and he was discharged improved.
Two months before entry the patient was readmitted because of worsening fatigue, fever, and exertional dyspnea. Radiographs of the chest showed ill-defined
Differential Diagnosis
Clinical Diagnosis
Dr. Deborah J. Cotton's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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