Full recovery from severe dilated cardiomyopathy in an HIV-infected patient.
HIV-related cardiomyopathy is usually seen in persons with advanced HIV disease and carries a very poor prognosis. Severe dilated cardiomyopathy necessitating hospitalization in the cardiac ICU with vasopressor and ventilator support developed in a 44-year-old HIV-infected man with a CD4+ cell count of 552/microL and an undetectable plasma HIV RNA level who was treated with didanosine and hydroxyurea. During the course of a year, he had full recovery of cardiac function. Aggressive intervention is warranted in otherwise healthy HIV-infected patients presenting with severe dilated cardiomyopathy.
Fingerhood
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Johns Hopkins University School of Medicine, Baltimore, USA.
D000328:Adult; D002311:Cardiomyopathy, Dilated / Q000209:etiology* / Q000628:therapy; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D016896:Treatment Outcome