A possible concise summary is:
This is a video transcript of a case study about a 78-year-old woman who was diagnosed with AIDS after eating cookie dough every week for lunch. She had multiple complications from salmonella infection, kidney failure, rash, and bone fracture. She recovered after receiving antiretroviral therapy and antibiotics.
Here are the facts extracted from the text:
1. The patient, Cece, is a 78-year-old woman from South America who lives in the United States.
2. Cece has been eating cookie dough every week for lunch.
3. She has been experiencing night sweats, hot flashes, and insomnia.
4. Cece has unintentionally lost at least 25 pounds over the last two months.
5. She has type 2 diabetes, high blood pressure, and atrial fibrillation, but these conditions are well-controlled with medication.
6. Cece's blood analysis reveals anemia, with a low red blood cell count.
7. Her kidneys are failing, with high levels of nitrogen and creatinine in her blood.
8. Cece has a massive amount of protein in her urine, more than 40 times the upper limit of normal.
9. She is discharged from the emergency room and referred to the kidney clinic.
10. Cece's kidney function worsens, and she is admitted to the hospital with fevers, chills, and hematuria (blood in her urine).
11. Salmonella enteritidis is isolated from her urine, blood cultures, and stool.
12. Cece is diagnosed with salmonella enteritidis infection.
13. She is prescribed antibiotics and her fever resolves, but her urine and blood cultures become sterile.
14. Cece's infection is cleared, but she is told to stop eating cookie dough and anything uncooked.
15. She is given a four-week prescription for antibiotics to ensure the infection is fully cleared.
16. Cece's rash is not characteristic of an antibiotic hypersensitivity reaction.
17. Her CD4 T-cell count is 60 cells per milliliter of blood, which is under the criteria for AIDS.
18. Cece is diagnosed with AIDS at the age of 78.
19. Her viral load is 550,000 copies per milliliter of blood.
20. Cece's kidney damage and nephropathy are consistent with HIV-associated nephropathy.
21. She has a history of breaking her right leg, which may have been related to her HIV infection.
22. Cece's HIV infection may have been acquired through a blood transfusion after an accident in Latin America in the 1990s.
23. She is prescribed triplet antiretroviral therapy, and her viral load becomes undetectable after six months.
24. Cece's kidney function improves, her bones heal, and she makes a full recovery.