Mouth and Esophageal Ulcers in an HIV-infected Patient

The patient was a 41-year-old man who was admitted for a 3-week history of fever, dysphagia, odynophagia, and painful ulcers in the oropharynx. The patient reported that 3 years earlier he suffered a similar condition that was less severe and resolved spontaneously. He had been diagnosed with human immunodeficiency virus (HIV) infection, category B3, and hepatitis C infection, and was on treatment with cotrimoxazole.