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case_images: Acid-fast bacillus stain of pancreatic mass biopsy. Courtesy of Dr Bhavna Khandpur, Vice Chairman of Pathology, Nuvance Health/Norwalk Hospital.
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case_images: Timeline of clinical course. Abbreviations: AFB, acid-fast bacilli; BIC, bictegravir; CBD, common biliary duct; CMV, cytomegalovirus; CT, computed tomography; cx, culture; DTG, dolutegravir; EBV, Epstein-Barr virus; ERCP, endoscopic retrograde cholangiopancreatography; EUS, endoscopic ultrasound; FNA, fine-needle aspirate; FTC, emtricitabine; ID, infectious disease; LAN, lymphadenopathy; LN, lymph node; s/p, status post; TAF, tenofovir alafenamide; TB, tuberculosis; TDF, tenofovir disoproxil fumarate; tx, therapy; VL, HIV viral load.
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case_images: Figure 2 provides a timeline of the clinical course.