N. SWERDLOW, M.D., Ph.D.; R. HAUBRICH, M.D.
To the editor: A 28-year-old homosexual man with respiratory distress, diagnosed with Pneumocystic carinii pneumonia and psittacosis, was intubated on day 7. Complications during weeks 3 to 9 included gastrointestinal bleeding requiring transfusion, recurrent pneumothoraces requiring bilateral chest tubes, tracheostomy placement, pseudomonas sepsis, and disseminated cytomegalovirus. After extubation he was febrile to 40 °C and maintained on trimethoprim, dapsone, imipenem, ceftriaxone, and intravenous acyclovir. By week 15, stool cultures taken at week 5 were reported positive for Mycobacterium avium intracellulare. He was discharged at week 16, requiring home central hyperalimentation, intravenous antibiotics, oxygen, blood and electrolyte replacements, meticulous skin care,
SWERDLOW N, HAUBRICH R. Aggressive Treatment of a Patient with the Acquired Immunodeficiency Syndrome. Ann Intern Med. ;107:597. doi: 10.7326/0003-4819-107-4-597_1
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Published: Ann Intern Med. 1987;107(4):597.
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