A 22 year old Caucasian male presented with a myriad of complaints including: constant unexplained fatigue, frequent headaches, weight loss, cough, shortness of breath, and diarrhea.
In addition, he reported white spots in his oral cavity and difficulty swallowing. The patient reported a history significant for flu-like symptoms that lasted for several weeks, Herpes, and multiple sexual encounters.
Upon examination, Dr. Ima Mune, noted the following:
Oral cavity: Candidiasis noted in the buccal and lingual areas.
Integumentary: Purple lesions on the skin.
Lymphatic System: Positive for swollen lymph nodes in the neck and armpits.
Pulmonary: Positive for dry crackles during inspiration.
Speech: Mild dysarthria.
Cognition: Adequate function.
Following the aforementioned findings, Dr. Ima Mune ordered an initial immunoassay. Pending results, a Western blot test was to be done.
Your Challenge:
What diagnosis was Dr. Ima Mune suspecting? What other tests may be needed to confirm or rule out possible coexisting conditions? Which treatment(s) should be considered? Describe the prognosis? REMEMBER TO PROVIDE AT LEAST ONE LINK THAT SUPPORTS YOUR FINDINGS.
At the end of your initial post, select 10 medical terms related to this body system, dissect them into their component parts, and provide their meanings.
Western blot test