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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:273-280 January 27, 1994 Number 4
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Case 4-1994— A 38-Year-Old Man with AIDS and the Recent Onset of Diarrhea, Hematochezia, Fever, and Pulmonary Infiltrates
Nesli Basgoz, and Anthony R. Mattia

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Presentation of Case

A 38-year-old man was admitted to the hospital because of bloody diarrhea, weakness, and dyspnea.

There was a history of intravenous drug abuse and bisexual activity. Ten months before admission the patient was first seen at this hospital because of seizures. A computed tomographic (CT) scan of the brain (Figure 1) showed a left parietal ring-enhancing lesion, 1.0 cm, with extensive surrounding edema. Further evaluation revealed evidence of toxoplasmosis. A test for human immunodeficiency virus (HIV) antibodies was positive; the CD4+ cell count was 100 per cubic millimeter, and a tuberculin skin test with controls disclosed anergy. A . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Nesli Basgoz's Diagnosis

Pathological Discussion

Anatomical Diagnoses

References



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