Presentation of Case A 27-year-old man with the acquired immunodeficiency syndrome (AIDS) was admitted to the hospital because of a cough, fever, and an abnormal radiograph of the chest. The patient was well until 8 1/2 months earlier, when he was first admitted to this hospital because of a headache, fever, cough, and dyspnea for two days. He had emigrated from Puerto Rico two months earlier, after his wife and child died of AIDS; his wife had received transfusions in the past after a gynecologic operation. The patient had lost 9 kg in weight during the previous two or three.
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