A 34-year-old homosexual man, who had been infected with thehuman immunodeficiency virus (HIV) since 1986 but without adefining illness of the acquired immunodeficiency syndrome (AIDS),presented with a two-week history of pruritus, jaundice, andloss of energy. He also had anorexia and intermittent nauseawithout vomiting, abdominal pain, or diarrhea. For several monthshe had had night sweats and intermittent fever with temperaturesas high as 102°F. Four weeks earlier he had had an episodeof sinusitis, which was treated first with erythromycin, butlater with clarithromycin instead, because of gastrointestinalintolerance. He had been taking trimethoprim–sulfamethoxazolefor . . . [Full Text of this Article]
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Source Information
From the Baptist Health System and the University of Alabama, Birmingham, School of Medicine, Birmingham, Ala.
References
Related Letters:
Clinical Problem-Solving: We Blew It
Barritt A. S., Gifford B. D., Garrett A., Hofmann L., Calabrese C., Frederick M., Kreisberg R.
Extract |
Full Text
N Engl J Med 1995;
333:520-521, Aug 24, 1995.
Correspondence
This article has been cited by other articles:
Barritt, A. S., Gifford, B. D., Garrett, A., Hofmann, L., Calabrese, C., Frederick, M., Kreisberg, R.
(1995). Clinical Problem-Solving: We Blew It. NEJM
333: 520-521
[Full Text]
Kassirer, J. P.
(1995). Teaching Problem-Solving -- How Are We Doing?. NEJM
332: 1507-1509
[Full Text]
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