This document discusses a case of fever of unknown origin (FUO) in a young HIV-positive man with high viral load and low CD4 count. It provides definitions and classifications of FUO. The most common etiologies in HIV-positive patients are infections like atypical mycobacteria, and malignancies like non-Hodgkin's lymphoma. Diagnostic testing and biopsy of organs like the liver, lymph nodes, and bone marrow can help identify the cause. Positron emission tomography may also help locate sites of inflammation or malignancy. Therapeutic trials rarely establish a diagnosis for FUO. Polycythemia vera is a rare event in HIV patients, with only a few cases reported.