HIV and AIDS Quiz: Ace Your Exams
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A 45-year-old man comes to his primary care physician to evaluate facial lesions for one week (detailed in the image below). The patient notes significant weight loss and chronic diarrhea. Two weeks ago, he was initiated on an antiepileptic agent. The patient is sexually active with men and women and uses condoms inconsistently. He uses intravenous drugs, including heroin, and consumes alcohol daily. He has a pet cat at home. Temperature is 38.11°C (100.6°F), pulse is 99/min, respirations are 20/min, and blood pressure is 120/75 mmHg. Physical examination reveals anterior and posterior cervical lymphadenopathy. A biopsy of the skin lesion reveals lymphocytic infiltrates. Which of the following is the most likely etiology of this patient’s clinical presentation?

Wikimedia commons
By M. Sand, D. Sand, C. Thrandorf, V. Paech, P. Altmeyer, F. G. Bechara - M. Sand, D. Sand, C. Thrandorf, V. Paech, P. Altmeyer, F. G. Bechara: Cutaneous lesions of the nose. In: Head & face medicine Band 6, 2010, S. 7, ISSN 1746-160X. doi:10.1186/1746-160X-6-7. PMID 20525327. (Review). Open Access, CC BY 2.0

Wikimedia commons
By M. Sand, D. Sand, C. Thrandorf, V. Paech, P. Altmeyer, F. G. Bechara - M. Sand, D. Sand, C. Thrandorf, V. Paech, P. Altmeyer, F. G. Bechara: Cutaneous lesions of the nose. In: Head & face medicine Band 6, 2010, S. 7, ISSN 1746-160X. doi:10.1186/1746-160X-6-7. PMID 20525327. (Review). Open Access, CC BY 2.0
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