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A 33-year-old white patient presents with complaints of fatigue,
malaise, and sore throat of 2 weeks in duration. She reports
unprotected sex while on vacation 2 months ago. Her past
medical history is unremarkable. She has no sick contacts at
home or at school. On physical examination, the patient has a
temperature of 37.8Â°C, blood pressure 125/70 mm Hg, heart
rate 72 beats/min, and respiratory rate 20 breaths/min. She has
a macular erythematous rash on her trunk and swollen cervical
lymph nodes. Results of the rest of her examination, including
lungs, heart, and abdomen, are unremarkable. Laboratory
results are as follows: hemoglobin 13.5 g/dL, leukocyte count
8,500/Î¼L, platelet count 200,000/Î¼L, serum creatinine 0.9
mg/dL, and liver function test values (aspartate aminotransferase,
alanine aminotransferase, bilirubin, and alkaline phosphatase)
all within normal range. All of the following statements
are true about her diagnosis except:
a. Results of HIV antibody testing may be negative.
b. Occurs within days to weeks after exposure.
c. p24 Antigen assay may help in making the diagnosis.
d. Polymerase chain reaction for HIV may help in making the
e. The womanâ€™s presentation is a rare manifestation of this
a?? or e??
rash z rare presentation in HIV.. Unless she z gvn antibiotic for her URTI..
answer is e
Acute HIV syndrome or primary HIV infection occurs within days
to weeks after exposure to HIV. Upwards of 40% of infected individuals
present with a brief illness that may last for a few days to a
few weeks. Patients usually present with a mononucleosis-like illness as described
in this patient.
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