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Fever and weight loss in a patient with HIV
Interactive Grand Round
Fever and weight loss in a patient with HIV Emily Martyn, Michael Marks, Simon Edwards, Steven Bandula, Ankur Gupta-Wright, Stephen Morris-Jones, David A Moore
A 52-year-old man presents with a 3 month history of bloody diarrhoea, fever and weight loss. He is HIV positive and has a past history of lymphoma. What is the differential diagnosis and how would you investigate? A subsequent PET-CT shows a large solitary lesion in the right lobe of the liver. What is the next step?
Lancet 2015; 386: e8 Hospital for Tropical Diseases (E Martyn MBBS, M Marks MRCP, S Edwards FRCP, S Bandula FRCR, A Gupta-Wright MRCP, S Morris-Jones FRCPath, D A Moore FRCP), London WC1E 6JB
Test yourself and learn from the experts in this online Interactive Grand Round from the Hospital for Tropical Diseases, London at http://www. thelancet.com/interactive-grand-round/fever-and-weight-loss-in-patientwith-HIV
www.thelancet.com Vol 386 August 22, 2015
e8
Fever and weight loss in a patient with HIV Emily Martyn, Michael Marks, Simon Edwards, Steven Bandula, Ankur Gupta-Wright, Stephen Morris-Jones, David A Moore
A 52-year-old man presents with a 3 month history of bloody diarrhoea, fever and weight loss. He is HIV positive and has a past history of lymphoma. What is the differential diagnosis and how would you investigate? A subsequent PET-CT shows a large solitary lesion in the right lobe of the liver. What is the next step?
Lancet 2015; 386: e8 Hospital for Tropical Diseases (E Martyn MBBS, M Marks MRCP, S Edwards FRCP, S Bandula FRCR, A Gupta-Wright MRCP, S Morris-Jones FRCPath, D A Moore FRCP), London WC1E 6JB
Test yourself and learn from the experts in this online Interactive Grand Round from the Hospital for Tropical Diseases, London at http://www. thelancet.com/interactive-grand-round/fever-and-weight-loss-in-patientwith-HIV
www.thelancet.com Vol 386 August 22, 2015
e8