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Roentgenogram of the Month |

Multiple Pulmonary Nodules in an HIV-Positive Man on Highly Active Antiretroviral Therapy*

Robert A. Winn, MD; Thomas C. Stoeckli, MD; Michael L. Wilson, MD; William Burman, MD; Marvin I. Schwarz, MD, FCCP; Edward D. Chan, MD
Author and Funding Information

*From the Division of Pulmonary Sciences and Critical Care Medicine (Drs. Winn, Schwarz, and Chan), the Division of Infectious Diseases (Dr. Stoeckli), and the Department of Pathology (Dr. Wilson), University of Colorado Health Sciences Center, Denver, CO; and the Denver Community Programs for Clinical Research on AIDS (Dr. Burman), Denver Health Medical Center, Denver, CO.

Correspondence to: Robert A. Winn, MD, Campus Box C272, Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado Health Sciences Center, 4200 East Ninth Ave, Denver, CO 80262; e-mail: robert.winn@uchsc.edu



Chest. 2002;122(5):1840-1843. doi:10.1378/chest.122.5.1840
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A 38-year-old man with AIDS and a prior episode of Pneumocystis carinii pneumonia (PCP) presented with a 2-month history of progressive dyspnea, nonproductive cough, night sweats, and weight loss. Medications included nelfinavir, 750 mg three times daily; stavudine, 40 mg twice daily; didanosine, 200 mg twice daily; and trimethoprim/sulfamethoxazole (TMP/SMX) prophylaxis once daily. However, according to the pharmacy records, the patient had not been compliant with the TMP/SMX therapy. He denied tuberculosis exposure or recent travel.

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