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Poly-Infections in a Patient Living With Human Immunodeficiency Virus (HIV)
Annarose M Sorvillo1, Vadim Belinschi2, Camille Akkari3
1Pharmaceutical Education, Fairleigh Dickinson University College of Pharmacy and Health Sciences, Florham Park, USA.
Febrile neutropenia in an HIV patient was caused by T-cell large granular lymphocytic leukemia (T-LGL) and Strongyloides infection, not just HIV. This highlights the need for broader differential diagnoses in immunocompromised individuals.
Area of Science:
- Hematology
- Infectious Diseases
- Immunology
Background:
- Febrile neutropenia (FN) is a critical condition in immunocompromised patients, often linked to chemotherapy, malignancy, or advanced HIV.
- Severe neutropenia with preserved CD4 T-helper cell counts is unusual and suggests alternative causes beyond typical HIV-related marrow suppression.
- Gram-negative bacteremia in neutropenic patients is frequently associated with gut translocation.
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