Thanks to Drs. Mario Marques-Piubelli and Roberto Miranda, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA, for contributing this case and discussion and to Dr. Genevieve Crane, Cleveland Clinic, Cleveland, Ohio, USA, for reviewing the discussion.
A 51 year old man with a medical history of HIV infection who was noncompliant with antiretroviral therapy presented with cough, dyspnea, chest pain, fever and pancytopenia. CT showed pleural and pericardial effusions but no masses. A pleurocentesis was performed.
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