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A 35-year-old man, HIV-positive since the year 2000, last CD4 count 154 cells/ml and HIV viral load less than 40 copies/ml in 2010, taking abacavir–lamivudine and lopinavir/ritonavir since 2005 presented to the emergency room with 3 months of progressive headache and right ear pain, which had increased in the last 2 days; he had no …
Competing interests None to declare.
Patient consent Obtained.
Provenance and peer review Not commissioned; not externally peer reviewed.