IDCases (Jan 2023)

When dyspnea is a Hickam’s Dictum

  • Annette Abraham,
  • Nicholas Moore,
  • Sarah E. Sansom

Journal volume & issue
Vol. 32
p. e01786

Abstract

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Synchronous opportunistic infections are luckily rare in people living with HIV (PLWH) in the era of highly effective antiretroviral medications. We describe the case of a middle-aged man who presented with diarrhea and shortness of breath and was found to have pneumocystis pneumonia, disseminated histoplasmosis and disseminated mycobacterium avium complex infection along with a new diagnosis of human immunodeficiency virus (HIV) infection. This case highlights that individuals who remain undiagnosed with HIV infection for a long time can still present with concurrent infections and clinicians should remain aware of this.

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