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The combination of fever, HIV infection, and the patient's country of origin evokes a broad range of differential diagnoses. I would be most concerned about conditions related to his HIV infection. Opportunistic infections obviously come to mind, but non-Hodgkin's lymphoma or a drug reaction (such as sulfonamide hypersensitivity) may also cause fever. The patient's history of
Commentary
Source Information
From the Departments of Medicine (K.C.K., S.L.W., A.G.M., J.S.K., A.S.D.) and Health Policy, Management, and Evaluation (A.S.D.), University of Toronto; and the Department of Medicine at Mount Sinai Hospital and University Health Network (K.C.K., S.L.W., A.G.M., J.S.K., A.S.D.) both in Toronto.
Address reprint requests to Dr. Detsky at Mount Sinai Hospital, Rm. 427, 600 University Ave., Toronto, ON M5G 1X5, Canada, or at detsky@utstat.toronto.edu.
References
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