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Case 2: Cyanosis in a Patient with AIDS

You answered:

D Administer high-dose corticosteroids for Kaposi’s sarcoma immune reconstitution inflammatory syndrome.

This answer is incorrect. Although this patient is at risk for immune reconstitution inflammatory syndrome due to recent initiation of antiretroviral therapy, one would have expected cough, hemoptysis, or hypoxemia if this pulmonary immune reconstitution was causing his clinical illness.

A Start intravenous pentamidine for presumptive treatment of Pneumocystis pneumonia.
B Stop zidovudine and adminster high-dose folic acid.
C Stop dapsone and administer intravenous methylene blue.


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