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What is the principal diagnosis in this scenario?


A 46-year old male, who is an HIV-infected patient, has a long history of opiate addiction. He started using heroin again. Last year he was admitted for treatment of Pneumocystis carinii pneumonia. Presently, severe depression brought him to the hospital and he was admitted. He and the physician had an extensive discussion about returning to Narcotics Anonymous and also joining an AIDS support group. A prescription for Prozac was given for his depression.

Diagnoses: (1) Severe recurrent depression, (2) heroin addiction, (3) HIV infection

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