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Lymphadenopathy, productive cough, eosinophilia, and a new-onset acquired immunodeficiency syndrome

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We present a complicated case of a human immunodeficiency virus (HIV)‐infected male patient with a complexity of confounding and overlapping symptoms that can masquerade as another diagnosis. This is the case of a patient with multiple secondary sexually transmitted infectious diseases, lymphadenopathy, B-cell lymphoma, a productive cough, a clinical picture suggestive of pulmonary tuberculosis, eosinophilia, and a new-onset acquired immunodeficiency syndrome. Our presentation highlights those deteriorations seen in our patient as well as various underlying immunologic changes in the content of HIV infection. This case may not be unique, but less severe cases occur and can be underdiagnosed, indicating the need of timely screening, close evaluation, and monitoring of HIV-infected patients as well as those with high risk of acquiring HIV.
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Keywords: Eosinophilia; immune deficiency; lymphadenopathy

Document Type: Research Article

Affiliations: Department of Medicine, Division of Infectious Disease and Allergy Immunology, Nassau University Medical Center, East Meadow, New York, USA

Publication date: March 1, 2011

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  • Allergy and Asthma Proceedings is a peer reviewed publication dedicated to distributing timely scientific research regarding advancements in the knowledge and practice of allergy, asthma and immunology. Its primary readership consists of allergists and pulmonologists.

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