What Has Caused Severe Anemia in This Immunocompromised Patient?

Solve this exciting clinical case specific to your field of interest via Docplexus’ Clinical Case Challenge. Join your fellow doctors to discuss and answer today’s challenge! Case presentation A 38-year-old male patient was referred to the hospital after outpatient labs revealed low hemoglobin.

A past medical history of acquired immunodeficiency syndrome and noncompliant antiretroviral therapy (ART) regimen was reported; the last CD4 count was unknown. He also gave a one-week history of melanotic stools, generalized weakness, and progressively worsening shortness of breath. Vitals Pulse – 106 beats per minute Oxygen saturation – 98% Blood pressure – 122/80 mmHg Temperature - Afebrile Laboratory investigations Hemoglobin – 2.6 g/dL Hematocrit – 7.5% Mean corpuscular volume – 95.4 fL Reticulocyte percentage – 0.2 WBC – 9 × 10 9 /L Platelet count – 170 x 10 9 /L Ferritin level  –  709…