Skip to main content
SpringerLink
Log in
Book cover

Contemporary Internal Medicine pp 16–33Cite as

A Man with Shortness of Breath, Weight Loss, and Night Sweats

  • Chapter

  • 84 Accesses

Part of the book series: Contemporary Internal Medicine ((COIM,volume 2))

Abstract

This was the first Ohio State University Hospitals admission for this 32-year-old, divorced man, who was admitted through the emergency room with a chief complaint of shortness of breath. The patient had been in good health until three months previously when he began losing weight. This was associated with anorexia, intermittent diarrhea, and occasional night sweats. He had lost 25 pounds by the time he was admitted to the hospital. Approximately two weeks previously, nightly sweating and diaphoretic episodes during the day had begun, and he began experiencing a nonproductive cough. On the day of admission, he first took his temperature and found it to be 104° F. He came to the hospital because of his fever, worsening cough, and dyspnea.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Centers for Disease Control: Revision of the CDC surveillance definition for acquired immunodeficiency syndrome. Morbid Mortal Weekly Rept. 1987;36(suppl 1S)002E

    Google Scholar 

  2. Curran J, Jaffe HW, Hardy AM, et al: Epidemiology of HIV infection and AIDS in the US. Science. 1988;239:610–616.

    Article  PubMed  CAS  Google Scholar 

  3. Northfelt DW, Hayward RA, Shapiro MF: The acquired immunodeficiency syndrome is a primary care disease. Ann Intern Med. 1988;109:773–775.

    PubMed  CAS  Google Scholar 

  4. Ho DD, Pomerantz RJ, Kaplan JC: Pathogenesis of infection with HIV. N Engl J Med. 1987;317:278–285.

    Article  PubMed  CAS  Google Scholar 

  5. Fauci A: HIV Infectivity and mechanisms of pathogenesis. Science. 1988;239:617–621.

    Article  PubMed  CAS  Google Scholar 

  6. Redfield RR, Wright DC, Tramont EC: The Walter Reed staging classification of HTLV-III infection. N Engl J Med. 1986;314:131–132.

    Article  PubMed  CAS  Google Scholar 

  7. Centers for Disease Control: Classification system for HTLV-III/LAV infections. Morbid Mortal Weekly Rept. 1986;35:334–339.

    Google Scholar 

  8. Cooper DA, Gold J, Maclean P, et al: Acute AIDS retrovirus infection: Definition of a clinical illness associated with seroconversion. Lancet. 1985;1:537–540.

    Article  PubMed  CAS  Google Scholar 

  9. Kessler HA, Blaauw B, Spear J, et al: Diagnosis of HIV infection in seronegative homosexuals presenting with an acute viral syndrome. JAMA. 1987;258:1196–1199.

    Article  PubMed  CAS  Google Scholar 

  10. Phair, JP: Human immunodeficiency virus antigenemia. JAMA. 1987;258:1218.

    Article  PubMed  CAS  Google Scholar 

  11. The Consortium for Retrovirus Serology Standardization: Serological diagnosis of HIV infection by Western blot testing. JAMA. 1988;260:674–679.

    Article  Google Scholar 

  12. Kaplan JE, Spira TJ, Fishbein LH, et al: A six year follow-up of HIV-infected homosexual men with lymphadenopathy. JAMA. 1988;260:2694–2697.

    Article  PubMed  CAS  Google Scholar 

  13. Warner LC, Fisher BK: Cutaneous manifestations of the AIDS syndrome. Int J Dermatol. 1986;25:337–350.

    Article  PubMed  CAS  Google Scholar 

  14. Glatt A, Chirgwin K, Landesman SH: Current concepts: Treatment of infections associated with HIV. N Engl J Med. 1988;318:1439–1449.

    Article  PubMed  CAS  Google Scholar 

  15. Drew, WL: Cytomegalovirus infection in patients with AIDS. J Infect Dis. 1988;158:449–456.

    Article  PubMed  CAS  Google Scholar 

  16. Centers for Disease Control: Diagnosis and management of mycobacterial infection and disease in persons with HTLV-III/LAV infection. Morbid Mortal Weekly Rept. 1986;35:448–457.

    Google Scholar 

  17. Centers for Disease Control: Recommendations for diagnosing and treating syphilis in HIV-infected patients. Morbid Mortal Weekly Rept. 1988;37:600–8.

    Google Scholar 

  18. Price R, Brew BJ: The AIDS dementia complex. J Infect Dis. 1988;158:1079–1084.

    Article  PubMed  CAS  Google Scholar 

  19. Krause RM: Koch’s postulates and the search for the AIDS agent. Rev Infect Dis. 1984; 6:270–279.

    Article  PubMed  CAS  Google Scholar 

  20. Greenspan D, Greenspan JS, Hearst NG, et al: Relation of oral hairy leukoplakia to i nfection with HIV and the risk of developing AIDS. J Infect Dis. 1987;155:475–481.

    Article  PubMed  CAS  Google Scholar 

  21. Zon LI, Arkin C, Groopman, J: Haematologic manifestation of the HIV. Br J Haematol. 1987;66:251–256.

    Article  PubMed  CAS  Google Scholar 

  22. The Swiss Group for Clinical Studies of AIDS: Zidovudine for treatment of thrombocytopenia associated with HIV. Ann Intern Med. 1988;109:718–721.

    Google Scholar 

  23. Lui KJ, Derrow WJ, Rutherford G: A model-based estimate of the mean incubation period for AIDS in homosexual men. Science. 1988;240:1333–1335.

    Article  PubMed  CAS  Google Scholar 

  24. deWolf F, Lange JM, Houweling JT, et al: Number of CD4 + cells and the level of core antigens and antibodies to the HIV as predictors of AIDS among seropositive homosexual men. J Infect Dis. 1988;158:615–623.

    Article  CAS  Google Scholar 

  25. Moss AR, Bacchetti P, Osmond D, et al: Seropositivity for HIV and the development of AIDS or ARC: A three year follow-up of the San Francisco Hospital cohort. Br Med J. 1988;296:745–750.

    Article  CAS  Google Scholar 

  26. Hopewell, PC: Pneumocystis carinii pneumonia: Diagnosis. J Infect Dis. 1988;157:1115–1119.

    Article  PubMed  CAS  Google Scholar 

  27. Kovacs JA, Masur, H: Pneumocystis carinii pneumonia: Therapy and prophylaxis. J Infect Dis. 1988;158:254–260.

    Article  PubMed  CAS  Google Scholar 

  28. Krown SE: AIDS-associated Kaposi’s sarcoma; pathogenesis, clinical course, and outcome. AIDS. 1988;2:71–80.

    Article  PubMed  CAS  Google Scholar 

  29. Lane HC, Kovacs JA, Feinberg J, et al: Anti-retroviral effects of interferon alpha in AIDS-associated Kaposi’s sarcoma. Lancet. 1988;2:1218–1222.

    Article  PubMed  CAS  Google Scholar 

  30. Kaplan LD, Wofsy CB, Volberding PA: Treatment of patients with AIDS and associated manifestations. JAMA. 1987;257:1367–1372.

    Article  PubMed  CAS  Google Scholar 

  31. Fischl MA, and others: The efficacy of AZT in the treatment of patients with AIDS and ARC: A double-blind, placebo-controlled trial. N Engl J Med. 1987;317:185–191.

    Article  PubMed  CAS  Google Scholar 

  32. Richman DD, and others: The toxicity of AZT in the treatment of patients with AIDS and ARC: A double-blind, placebo-controlled trial. N Engl J Med. 1987;317:192–197.

    Article  PubMed  CAS  Google Scholar 

  33. Hirsch, M: Azidothymidine. J. Infect Dis. 1988;157:427–431.

    Article  PubMed  CAS  Google Scholar 

  34. AIDS: Single topic issue. Sci Am October 1988.

    Google Scholar 

  35. Creagh-Kirk T, Doi P, Andrews E, et al: Survival experience among patients with AIDS receiving zidovudine. JAMA. 1988;260:3009–3015.

    Article  PubMed  CAS  Google Scholar 

  36. Friedland GH, Klein RS: Transmission of the HIV. N Engl J Med. 1987;317:1125–1135.

    Article  PubMed  CAS  Google Scholar 

  37. Marcus R, and the CDC Cooperative Needlestick Surveillance Group: Surveillance of health care workers exposed to blood from patients infected with the HIV. N Engl J Med. 1988;319:1123–1127.

    Article  Google Scholar 

  38. Centers for Disease Control. Update: Universal precautions for prevention of transmission of HIV, hepatitis B virus and other bloodborne pathogens in health care setting. Morbid Mortal Weekly Rept. 1988;37:377–388.

    Google Scholar 

  39. Centers for Disease Control: Recommendations for the prevention of HIV transmission in health-care settings. Morbid Mortal Weekly Rept. 1987;36(suppl 2S).

    Google Scholar 

Download references

Authors
  1. Michael F. Para MD, FACP
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. The Ohio State University, Columbus, Ohio, USA

    Juan Bowen M.D.  & Ernest L. Mazzaferri M.D.  & 

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Plenum Publishing Corporation

About this chapter

Cite this chapter

Para, M.F. (1989). A Man with Shortness of Breath, Weight Loss, and Night Sweats. In: Bowen, J., Mazzaferri, E.L. (eds) Contemporary Internal Medicine. Contemporary Internal Medicine, vol 2. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6716-5_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-6716-5_2

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4615-6718-9

  • Online ISBN: 978-1-4615-6716-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation