An HIV-infected patient with fever, pancytopenia, and renal failure: is this end-stage AIDS? The AIDS reader [AIDS Read] Journal article | | Title | An HIV-infected patient with fever, pancytopenia, and renal failure: is this end-stage AIDS? | | Author(s) | Maldonado A, Oehler RL | | Institution | Division of Infectious Disease and International Medicine, Department of Internal Medicine, University of South Florida College of Medicine, Tampa, Florida, USA. | | Source | AIDS Read 2008 Apr; 18(4):214-6. | | Abstract | Histoplasmosis is a fungal infection caused by Histoplasma capsulatum. Although immunocompetent persons with H. capsulatum infections are usually asymptomatic, several clinical syndromes can manifest in immunocompromised patients. We report a case of a 61-year-old man with advanced HIV infection who presented with weight loss, anorexia, and renal failure. His symptoms were initially attributed to end-stage AIDS, but a more specific diagnosis was pursued. Bone marrow biopsy resulted in the discovery of disseminated histoplasmosis. This case illustrates the importance of actively pursuing the diagnosis of an opportunistic infection in persons with end-stage AIDS, treating the opportunistic infection aggressively, and maximizing the effectiveness of antiretroviral therapy. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 18472444 |
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