oa South African Family Practice - Fitting the patient to the disease : repeating procrustes' mistake in a time of HIV infection : case study



Extracted from text ... Introduction Procrustes was the mythical Greek innkeeper who either stretched or cut short his guests to fit a specific bed size. A classic mistake in medicine is to repeat this folly by adhering strictly to the "common things occur commonest" route. In a developing country with a high prevalence of HIV it is easy to ignore other possibilities, with consequences for the patient and family. We illustrate this point by presenting a case that was initially thought to fit the presentation of HIV disease but turned out to have another diagnosis, with a Mendelian inheritance pattern which made genetic counseling ..


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