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Acute Primary HIV Infection
Thomas C. Quinn, MD
JAMA. 1997;278(1):58-62.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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CASE PRESENTATIONS
Patient 1
A 31-year-old bisexual man presented to the Johns Hopkins Hospital emergency department complaining of progressive headaches, confusion, myalgia, vivid nightmares, and diarrhea. For many years he had traveled extensively throughout sub-Saharan Africa and had recently spent 2 years in Madagascar. He had returned to the United States 1 month before admission.
Once home, he developed diffuse myalgia and malaise. Stool analysis showed hookworm and Entamoeba histolytica, and he was treated with mebendazole and metronidazole 1 week before admission. During that week, he developed flulike symptoms of fever, chills, cough, and persistent diarrhea. Three days before admission, he developed a stiff neck, headaches, confusion, and vivid nightmares.
His medical history included an inguinal hernia repair 12 years before admission and hepatitis A infection 7 years before admission. For the past 2 years, he had taken prophylactic chloroquine against malaria. Within the past 6 months, he had been
. . . [Full Text PDF of this Article]
Author Affiliations
From the Division of Infectious Diseases, The Johns Hopkins University School of Medicine, Baltimore, Md.
Footnotes
Reprints: Thomas C. Quinn, MD, Division of Infectious Diseases, The Johns Hopkins University School of Medicine, Ross 1159, 720 Rutland Ave, Baltimore, MD 21205.
Grand Rounds at The Johns Hopkins Hospital section editors: David B. Hellmann, MD, D. William Schlott, MD, Stephen D. Sisson, MD, The Johns Hopkins University School of Medicine, Baltimore, Md; David S. Cooper, MD, Contributing Editor, JAMA.
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