32-year-old man presented to the emergency department with a 5-day history of dry cough, progressive dyspnea, nausea, and diarrhea. He gave no history of fever or other significant symptoms. The patient had human immunodeficiency virus (HIV) infection but was intermittently adherent to therapy. On examination, he appeared acutely ill, dehydrated, and cachectic. Vital signs showed a blood pressure of 100/60 mmHg, pulse 120/min, respiratory rate 49/min, and oxygen saturation 56% on room air, which improved to 92% with 50% oxygen by mask. Chest auscultation revealed occasional bilateral crackles. Liver was enlarged (span, 14 cm) but not tender. The remainder of the exam was normal. Ver texto completo
Authors’ addresses: Juan Carlos Catan˜ o and Miguel Alejandro Pinzo´ n, Infectious Diseases Section, Internal Medicine Department, University of Antioquia Medical School, Medellı´n, Antioquia, Colombia, E-mails: firstname.lastname@example.org and email@example.com.
** Dr. Miguel Alejandro Pinzón. Socio fundador y socio activo de la Fundación Alejandria.