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,
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SWERDLOW N, HAUBRICH R. Aggressive Treatment of a Patient with the Acquired Immunodeficiency Syndrome. Ann Intern Med. 1987;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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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