History of fevers-night sweats-increased cough with sputum

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Reference no: EM133821059

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The patient was a 55-year-old male with a 2-month history of fevers, night sweats, increased cough with sputum production, and a 25-lb weight loss. The patient denied i.v. drug use or homosexual activity. He has had multiple sexual encounters, sips a pint of gin a day, was jailed 2 years ago in New York City, and has a history of gunshot and stab wounds. His physical examination was significant for bilateral anterior cervical and axillary adenopathy and a temperature of 39.4°C. His chest radiograph showed paratracheal adenopathy and bilateral interstitial infiltrates. His laboratory findings were significant for a positive HIV serology and a low absolute CD4+ lymphocyte count. An acid-fast organism grew from the sputum and bronchoalveolar lavage fluid from the right middle lobe. What is a PPD test? What is its value in this patient? What additional tests would you order with a PPD test?

Reference no: EM133821059

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