Primary infection with HIV frequently causes splenomegaly. Acute infection with HIV may not be noted on screening labs; therefore additional testing may be required. Cultures Bacterial, fungal, and other cultures may be necessary and are dictated by the suspected infection....
On admission, pertinent labs included white blood cell of 6.9 K/mm3, hemoglobin of 4.8 g/dl, and platelet count of 6000 K/mm3. Basic metabolic panel was normal. Liver chemistry revealed a mildly elevated total bilirubin of 1.5 mg/dl with direct bilirubin of 0.4 mg/dl, aspartate ...