Pulmonary Embolism an Uncommon First Presenting Symptom of an Undiagnosed Case of HIV

Year 2018, Volume: 08 Issue: 01, 33 - 36, 15.03.2018

Anil Jha Hassan Ghoz Nicholas James

https://doi.org/10.5799/jmid.404244

Abstract

Pulmonary Embolism an Uncommon
First Presenting Symptom of an Undiagnosed Case of HIV

Anil Jha¹,
Hassan Ghoz¹, Nicholas James²

¹Division of Internal Medicine,
Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA, USA

²Division of Critical Care and
Pulmonology, Steward Carney Hospital, Tufts School of Medicine, Dorchester, MA,
USA

ABSTRACT

A 32
years old male who presented to our emergency department with shortness of
breath, cough and weight loss, all started less than a month time and later
diagnosed with HIV infection with very high viral load and low CD4 count. His
presenting history was lead the diagnostic workup toward malignancy as there
was large hilar masses and concern of metastasis to different place mainly
abdomen. Suspicion of HIV arouses as the biopsy from the hilar mass came back
negative for malignancy but was positive for tuberculosis. HIV serology came
back positive. The literature review showed pulmonary embolism as the very rare
first presentation of HIV, and only four cases reported so far. Although venous
thromboembolism is very common in chronic cases of HIV. J Microbiol Infect Dis 2018; 8(1):33-36

Keywords:
HIV, pulmonary embolism, cough, chest
pain, tuberculosis

Keywords

HIV, pulmonary embolism, cough, chest pain, tuberculosis

References

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