HIV

EM@3AM: Oropharyngeal Candidiasis

A 32-year-old male with HIV presents to the ED for loss of taste. He noticed white plaques on his tongue. Although painless, the plaque is associated with a cotton sensation and a dull sense of taste. The patient reports being compliant with his medications and denies other symptoms. His tongue is covered in white curd-like plaques that are easily removed with scraping, leaving behind an erythematous base. The posterior oropharynx is without abnormality. What is the diagnosis?

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EM@3AM: CNS Toxoplasmosis in HIV/AIDS

A 31-year-old male presents for headache for the past 72 hours. He has a history of tension headaches, but confirms that this headache feels different. He has a history of HIV/AIDS and is noncompliant with medications. His last known CD4 count one month prior was 200. He appears confused and is febrile. Neurologic exam reveals motor deficit of RUE and RLE. What’s your next step?

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