Author name: Clinical and Medical Images

Cryptococcosis; idiopathic CD4+ T-cell lymphocytopenia; Opportunistic Infections 2. Clinical Image A 50-year-old male with a past medical history of psoriasis presented with a two-week history of progressively worsening fatigue, low-grade fevers and throbbing frontal headaches, and several ulcerated papules of varying size (1-5mm) with central crusting and surrounding erythema noted on the forearms, chest, back […]

A 54 year-old man, HIV seropositive since 2011, with highly active antiretroviral therapy (HAART) and a previous diagnosis of pulmonary tuberculosis presented with a history of fever, productive cough and weight loss of 15 days duration. Physical examination revealed a temperature of 38 °C, cachectic status, dyspnea, hemoptysis, tachycardia, and tachypnea and disseminated bilateral crackles.

Achalasia is the most common primary motor disturbance of the oesophagus, whose prevalence is 1 patient for every 10.000, and its aetiology remains unknown. It is classified in 3 types, according to the contraction pattern of the oesophageal body; in its more extreme type, there is no oesophageal contraction at all. It may present with