Statistics from Altmetric.com
A 33-year-old HIV-seropositive man presented with recurrent oral candidiasis, weight loss, and lymphadenopathy.1 CD4 count was 73 cells/ml, and viral load was 296 000 copies/ml. Zidovudine, lamivudine and efavirenz were started, after which the patient showed an increase in CD4 count to 444 cells/ml. In the following weeks he developed progressive paresis of his left arm, left-sided facial weakness, bulbar dysarthia and dysphagia, which remitted when highly active antiretroviral therapy (HAART) was discontinued. However, his condition worsened again on resumption of HAART. Laboratory results showed a CD4 count of 441 cells/ml, a viral load of 105 copies/ml, a C reactive protein concentration of 18 mg/l and a sedimentation rate of 107 mm in the first hour. Serological tests for hepatitis B, hepatitis C and syphilis were negative, as were those for ANA, ANCA, rheumatoid factor and cryoglobulins. Complement (CH50) was …
Competing interests: None.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.