Differential Diagnosis of Neutropenia in HIV-Infected Patient

• HIV proliferation with myelosuppression?

• disseminated CMV infection?

• a disseminated fungal infection (Cryptococcus neoformans, Histoplasma capsulatum, other)?

• disseminated mycobacterial infection (M. tuberculosis, M. avium-intracellulare complex, etc)?

• other disseminated infection?

• Hodgkin's disease or malignant non-Hodgkin's lymphoma?

• metastatic carcinoma?

• malnutrition and/or vitamin deficiency?

• moderate to marked splenomegaly?

• myelosuppresive antiretroviral medications (zidovudine, stavudine, other)?

• therapy for HCV disease (ribavirin, interferon alpha)?

• therapy for CMV?

• therapy for Pneumocystis?

• therapy for toxoplasmsosis?

• chemotherapy for malignancy?

• other myelosuppressive drug?