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Figure 1. A 42-year-old man with the acquired immunodeficiency syndrome was evaluated for cachexia, hepatosplenomegaly, and persistent fever that was unresponsive to therapy with a third-generation cephalosporin and vancomycin. He had no lumbosacral, perineal, or leg pain and no difficulty walking. He had not had any recent infections of the skin or other sites. His white-cell count was 5700 per cubic millimeter (79 percent neutrophils). Computed tomography (CT) of the abdomen after intravenous administration of radiographic contrast material revealed bilaterally enlarged psoas muscles (long arrows in Panel A) with hypodense centers and thin residual rims of normally attenuating tissue; . . . [Full Text of this Article] |