Relay-Version: version B 2.10 5/3/83; site utzoo.UUCP Posting-Version: version B 2.10.2 9/18/84; site bnrmtv.UUCP Path: utzoo!decvax!decwrl!sun!amdahl!bnrmtv!zarifes From: zarifes@bnrmtv.UUCP (Kenneth Zarifes) Newsgroups: net.med Subject: Re: Medical Puzzle #6 Message-ID: <237@bnrmtv.UUCP> Date: Thu, 23-Jan-86 21:23:21 EST Article-I.D.: bnrmtv.237 Posted: Thu Jan 23 21:23:21 1986 Date-Received: Sat, 25-Jan-86 04:21:54 EST References: <2201@aecom.UUCP> Distribution: na Organization: Bell Northern Research, Mtn. View, CA Lines: 20 > A 27-old Hispanic female from the South Bronx is referred to clinic > with a 2-week history of dry cough, fever, shortness of breath, and weight > loss. On physical exam, she has a temperature of 102. An examination of her > head reveals oral thrush (an infection of the mouth by the yeast Candida). > Because of her extreme difficulty breathing, she is admitted to the > hospital. An admission chest X-ray reveals is diffusely cloudy on both sides, > suggesting interstitial pneumonia. A sputum examination reveals nothing, but > shows squamous cells (suggestive that it wasn't done as well as could be > expected.) Routine blood test shows mild anemia (low hematocrit) and a > White Blood Cell count in the normal range. > > What is the suspect diagnosis (generally or specifically)? Perhaps AIDS with pneumocystis pneumonia? As for her history,she is either a heroin addict or is married to one...correct? -- {hplabs,amdahl,3comvax}!bnrmtv!zarifes --Ken Zarifes