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A 37-year-old right-handed man with the acquired immunodeficiency syndrome (AIDS) was admitted to the hospital because of increasing confusion and disorientation.
The patient had tested positive for antibodies against human immunodeficiency virus type 1 (HIV-1) several years earlier. Thirty-eight months before admission the CD4+ cell count was 200 per cubic millimeter, and zidovudine treatment was begun. Seven months later he was treated successfully for Pneumocystis carinii pneumonia. Ten months before admission a disseminated varicellazoster rash developed and was complicated by abdominal pain attributed to pancreatitis. Trimethoprimsulfamethoxazole, acyclovir, fluconazole, and rifampin were added to the treatment regimen. In the next month
Differential Diagnosis
Clinical Diagnosis
Dr. Stuart A. Lipton's Diagnoses
Pathological Discussion
Anatomical Diagnoses
References
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