35 yrs , female. HIV pos on ART since 2014. Presented with P | Figure 1

Case Summary: 35 yrs, female. HIV positive on ART since 2014. Presented with productive cough associated with pleuritic chest pains & progressive shortness of breath x 2 months. Accepts paroxysmal nocturnal dyspnea, night sweats but no fevers & weight loss. No previous history of TB, HTN, DM. On 2 May 18, switched from TDF/3TC/EFv to AZT/3TC/ATZ/r due to ART failure. O/E mildly distressed, puffy face, JVP not raised, PR 120 b/min, RR 24 c/min, Temp+BP normal. Normal heart sounds; respiratory exam significant for bilateral crackles. Notable bilateral pitting edema of lower extremities. FBC review showed HB of 4.6, Plt 94, normal MCV, Urea 257, Cr 9.2, Sputum Neg AFBs. Waiting for gene Xpert results for sputum. Viral load: 156740 copies.

Similar Cases

Case Summary: A middle-aged man, from a poor family, presented for routine cough and fever. He is HIV positive for 13 to 15 years without anti-retroviral therapy, leading a normal life.

Case Summary: 69-year-old male smoker with low-grade fever and outpatient treatment failures with levofloxacin, amoxicillin, ceftriaxone.

Case Summary: 33-year-old healthy female with worsening cough; CT chest shows multiple cavitary lung lesions with Mycobacterium avium and Mycobacterium abscesses in cultures.

Case Summary: 29-year-old female patient with MS, presenting with itchy lesions and treated with corticosteroids.

Case Summary: 52-year-old man with chest pain radiating to the shoulder and neck, history of hypertension and smoking.

Case Summary: 28-year-old woman with itchy vesicular lesions on the lower back.

Case Summary: 4-month-old male infant with pustular skin lesions localized to the chin.

Case Summary: Patient in late teens presenting after a collapse; normal EKG findings are questioned.