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A 21-year-old woman with human immunodeficiency virus infection and a CD4 count of 400 cells per cubic millimeter who was not receiving antiretroviral therapy presented with a 1-week history of fever, chest pain, and hemoptysis. She reported having used illicit intravenous drugs in the past. Physical examination revealed a 3/6 pansystolic murmur over the cardiac apex and the left lower sternal border and coarse rhonchi in bilateral lung fields. A chest radiograph revealed bilateral multiple cavitary lesions with air–liquid levels (Panel A). Computed tomography confirmed the presence of several rounded, radiolucent lesions with air–liquid levels and well-defined margins — findings . . . [Full Text of this Article] |
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