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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 332:249-257 January 26, 1995 Number 4
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Case 3-1995— A 29-year-old man with AIDS and multiple splenic abscesses
J.A. Fishman, and A.R. Mattia

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Presentation of Case

A 29-year-old man was admitted to the hospital because of the acquired immunodeficiency syndrome (AIDS) and multiple splenic abscesses.

The patient was homosexual and had been found to have AIDS two and a half years earlier; at that time the CD4 cell count was 173 per cubic millimeter. He had a positive serologic test for cytomegalovirus antibodies and negative serologic tests for syphilis, toxoplasma, and hepatitis B surface antigen and antibody; he was anergic to tuberculin. An episode of Salmonella choleraesuis bacteremia occurred 16 months before admission, and the patient was treated for 6 months with ciprofloxacin. He had had . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Jay A. Fishman's Diagnosis

Pathological Discussion

Anatomical Diagnosis

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