12-01-2008, 05:28 AM
A 25-year-old HIV-positive man presents to the physician with a history of painful swallowing and burning chest pain. His medications include zidovudine, didanosine, and indinavir. He was started on fluconazole, but his symptoms did not improve. Esophagoscopy with biopsy, cytology, and culture is performed, which shows giant ulcers with no viruses. What is the most appropriate next step in the management of this patient?
c A. Continue fluconazole. B. Start ganciclovir.
r C. Start acyclovir.
r D. Start prednisone.
ยข E. Start ranitidine.
c A. Continue fluconazole. B. Start ganciclovir.
r C. Start acyclovir.
r D. Start prednisone.
ยข E. Start ranitidine.