Susan Ball , M.D.. Chief Resident: Mr. B, a thirty-five-year-old white male, was admitted to the medical service with chief complaints of fever, chills, and increasing shortness of breath. This was Mr. B's second admission. His first was six month s ago for pneumonia, leukopenia, and lymphadenopathy of unknown etiology. At that time he was treated with antibiotics; he improved and was discharged. Since that time Mr. B reported continuing to feel weak and lethargic. Two weeks before this admission he noted the onset of fever, chills, sore throat, and a nonproductive cough. He initially saw a medical doctor for these complaints who diagnosed his problem as bronchitis and treated him with intramuscular injections that were probably antibiotic in nature. He continued to experience malaise and fever. Next he saw an otolaryngologist, who diagnosed Mr . B as having oral thrush. He was placed on Mycostatin Oral Suspensions , but continued to experience increasing fever, chills, shortness of breath , and sore throat, as well as a rthralgias, abdominal pain, and diar rhea. Shortly thereafter Mr. B was admitted to the hospital.
Ball, MD, Susan; Hauptman, DO, Stephen; Helz, MD, Jean; Murphey, MD, Sheila; and Shindell, MSS, Beth
"A Patient with Aids,"
Jefferson Journal of Psychiatry: Vol. 3
, Article 7.
Available at: http://jdc.jefferson.edu/jeffjpsychiatry/vol3/iss2/7