A case of pulmonary infarction induced by undiagnosed HIV. (2020)

• Record Type: Journal Article
• Authors: Akaba, Tomohiro; Kondo, Mitsuko; Kobayashi, Fumi; Yagi, Osamitsu; Takeyama, Kiyoshi; Sakai, Shuji; Tagaya, Etsuko
• Is Part Of: Respiratory medicine case reports. Volume 31(2020)
• Publication Date: 2020
• Subjects: Pulmonary infarction -- HIV infection -- Prothrombotic condition; PI pulmonary infarction -- PE pulmonary embolism -- MSM men who have sex with men; Respiratory organs -- Diseases -- Periodicals; Chest -- Diseases -- Periodicals; Respiratory Tract Diseases -- Periodicals; Respiratory System -- Periodicals; Chest -- Diseases; Respiratory organs -- Diseases; Electronic journals; Periodicals; 616.2
• DOI: 10.1016/j.rmcr.2020.101293
• Languages: English
• ISSNs: 2213-0071

Abstract

Abstract: A 25-year-old Chinese man visited our institution due to fever and left chest pain. A chest CT showed infiltrative shadows with pleural effusion. Despite antibiotics treatment, his symptoms gradually worsened. The contrast CT showed deterioration of infiltrative shadows with thromboembolism in pulmonary arteries, suggesting pulmonary infarction. Thereafter, his HIV test turned out to be positive. His symptoms and radiological findings improved after initiation of an anticoagulant therapy. No known risk factors for thromboembolism were identified except HIV infection. The possibility of pulmonary thrombosis should be noted when the HIV patient with acute chest pain and pneumonia-like infiltrative shadow is seen.