A 46-year-old female patient, who had been diagnosed with HIV, presented with major clinical signs of fever, diarrhea, and ulcerations on the forearm and shoulders (image). After examination, she was diagnosed with HIV clinical stage 4, cachexia, oral candidiasis, diarrhea whose etiology could not be identified, stage I anemia, chronic pyelonephritis and chronic hepatocholecystitis. She had developed the ulcerations from a red macule that had developed after a sand-fly bite. It grew in size and developed into ulcerous lesions within 2 months.
The patient had left the lesion unattended and had intermittently applied antiseptic medicines. Hemoglobin: 92 g/L Red Blood Cells: 3 × 10 12 /L White Blood Cells: 5 × 10 9 /L Eosinophils: 5% Lymphocytes: 7 × 10 9 /L ESR: 47 MM/hour What can be the probable diagnosis? *This patient case is from Docplexus Editorial Team for educative purpose only.…
