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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
Differential Diagnosis
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Dr. John L. Brusch's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
Related Letters:
Promoting the Health of Adolescents: New Directions for the Twenty-First Century
Spivak H.
Extract |
Full Text
N Engl J Med 1994;
330:146-147, Jan 13, 1994.
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