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September 2019 pulmonary case of the month: an HIV patient with a fever

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  • Additional Information
    • Publication Information:
      Arizona Thoracic Society
    • Publication Date:
      2019
    • Collection:
      Directory of Open Access Journals: DOAJ Articles
    • Abstract:
      No abstract available. Article truncated after 150 words. History of Present Illness A 33-year old transgender male to female presented from human immunodeficiency virus (HIV) clinic for two months of fevers, intermittent shortness of breath, cough with blood streaked sputum, headache, and nausea. The clinic provider was concerned when labs showed up trending HIV viral load (3.3 million copies) and an absolute CD4 count of 57. Past Medical History, Social History and Family History The patient had a history of stage-III HIV diagnosed in 2014 on bictegravir, emtricitabine, tenofovir (Biktarvy) and latent tuberculosis (TB) diagnosed 2017 on isoniazid and B6. She is from Nicaragua and arrived in Albuquerque, NM in 2017. Social history is pertinent for sex trafficking and methamphetamine use. Physical Examination Upon admission, the patient’s vital signs were notable for a temperature of 39.2 degrees Celsius, blood pressure of 114/71 mmHg, oxygen saturation of 95% on room air with a respiratory rate of 18 breaths per …
    • Relation:
      http://www.swjpcc.com/pulmonary/2019/9/1/september-2019-pulmonary-case-of-the-month-an-hiv-patient-wi.html; https://doaj.org/toc/2160-6773; https://doaj.org/article/39be3ccb12e5439b9516703d0e317c31
    • Accession Number:
      10.13175/swjpcc056-19
    • Online Access:
      https://doi.org/10.13175/swjpcc056-19
      https://doaj.org/article/39be3ccb12e5439b9516703d0e317c31
    • Accession Number:
      edsbas.A43E5DD4