REPORT OF A CASE
A 30-year-old black man with a 2-year history of an asymptomatic human immunodeficiency virus (HIV) infection Presented to his local physician with a 1-week history of a sore in his mouth. He was treated with ciprofloxacin. Progressive shortness of breath and a nonpruritic rash developed.Several days later, on presenting to an outlying emergency department he was noted to be tachypnic, tachycardic, and febrile (38.9°C). Arterial blood gas tests showed the following: pH, 7.47; Pco2, 13 mm Hg; and PaCO2, 65 mm Hg (room air). He was transferred to our emergency department, where he had a respiratory rate of 28 breaths per minute and a pulse of 120 beats per minute. His temperature was 37.6°C. He was a thin, illappearing man with dry oral mucosal surfaces but no oral ulcerations. His liver and spleen were enlarged. Prominent, palpable purpuric lesions were present on his
Phillips CM, Fabre V, Omura E. Palpable Purpura in an HIV-Positive Patient. Arch Dermatol. 1996;132(3):341–342. doi:10.1001/archderm.1996.03890270117018
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