Abstract
A 30-year-old cis-man living with well-controlled HIV infection presented with a 6-day history of perianal and tongue lesions and 2 days of fever, sweats, and odynophagia manifested as retrosternal chest pain when consuming fluids. His past medical history included HIV, treated with abacavir-dolutegravir-lamivudine and darunavir-cobicistat, with recent CD4 count of 192 and an undetectable viral load, and previously treated Mycobacterium avium complex disease with lymph node involvement. His other medications include trimethoprim-sulfamethoxazole, azithromycin, moxifloxacin, and ethambutol.
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