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sajaqua1
Not only is their WBC count low, it is not uniform. If we assume a minimum normal WBC count of 5000 cells/mL^3, and a regular range of ~60% neutrophils, then normally a person should have ~3,000 neutrophils/mL^3. This patient has a total of 2000 cells/mL^3, with 1,800 neutrophils/mL^3. Their lymphocytes and macrophages have been whiped out. This is best accounted for by HIV.
+47
koftawesa
CXR sounded like pneumocystis jiroveci which HIV patients are at high risk for- infections like these are usually the way HIV patients find out they have HIV
+1
The patient seems to have an infection due to their elevated temperature and abnormal chest X-ray. However, their leukocyte count is low. In addition, the patient has hepatitis C, which is often associated with similar transmission routes to HIV, like intravenous drug use.