• Chest · Jul 2021

    Case Reports

    A 34-Year-Old Man With HIV/AIDS and a Cavitary Pulmonary Lesion.

    • Maura Manion and Irini Sereti.
    • National Institute of Allergy and Infectious Diseases, Bethesda, MD. Electronic address: maura.manion@nih.gov.
    • Chest. 2021 Jul 1; 160 (1): e35-e38.

    AbstractA 34-year-old man presented to a community hospital with fever and fatigue for 3 days and was found to be febrile and tachycardic with a cavitary pulmonary lesion and paratracheal adenopathy on CT imaging. One month before, he had presented to his primary care provider with a palmar rash; he had been diagnosed and treated for syphilis and was also diagnosed with HIV. He had a CD4 count of 106 cells/μL and an HIV viral load of 1,290,000 copies/mL. Pneumocystis prophylaxis with trimethoprim-sulfamethoxazole and antiretroviral treatment with only tenofovir and emtricitabine therapy were started 2 weeks before presentation.Copyright © 2021. Published by Elsevier Inc.

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