Computed tomography (CT) highlighted an alarming discovery, the source of which proved
difficult to pinpoint. A 58-year-old man with AIDS presented to the hospital with progressive
shortness of breath and cough. Six weeks earlier, he was found to have a left upper
lobe cavitary lesion. At that time, he was treated with clindamycin for a lung abscess,
and highly active antiretroviral therapy (HAART) was restarted; the patient had a
long history of noncompliance and had not been using HAART for more than 6 months.
Nonetheless, in the ensuing weeks, he experienced fevers, a 20-lb weight loss, and
hemoptysis. His past medical history included large cell lymphoma 14 years earlier,
cytomegalovirus retinitis, and a recent episode of esophageal candidiasis.
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References
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Article Info
Publication History
Published online: June 11, 2014
Robert G. Stern, MD, Section EditorFootnotes
Funding: None.
Conflict of Interest: None.
Authorship: Both authors had access to the data and a role in writing the manuscript.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
