Managing Pneumocystis pneumonia

摘要

A 34-YEAR-OLD Hispanic, 60kg man with a recent diagnosis of HIV and dysphasia presented to the on-call service at his local HIV clinic, complaining of hoarseness (dysphonia), fevers, night sweats, lethargy, dizziness, weight loss and loss of appetite, thirst, occasional cough, enlarging skin plaques, cognitive changes and vomiting. He was put on the acute surgical admissions ward while awaiting a side room on the specialist infectious diseases ward. The patient's medical history is described in Panel 1.