Unusual presentations of primary human immunodeficiency virus infection.
Opportunistic infections during primary infection with human immunodeficiency virus (HIV) are rare, with the exception of oral and esophageal candidiasis. HIV-associated nephropathy (HIVAN) and Pneumocystis carinii pneumonia (PCP) typically occur during advanced HIV infection. We report two patients who developed HIVAN and a presumptive diagnosis of PCP, respectively, during primary HIV infection. Serologic testing demonstrated HIV seroconversion. Clinicians need to have a high index of suspicion when evaluating patients even when risk behaviors are not readily apparent.
Szabo
Susan
S
HIV Community Program, Christiana Care Health Services, Wilmington, Delaware 19899-1668, USA. sszabo@christianacare.org
James
Christopher W
CW
Telford
Georgianna
G
D016263:AIDS-Associated Nephropathy / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D000328:Adult; D019380:Anti-HIV Agents / Q000627:therapeutic use; D017809:Fatal Outcome; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D015497:HIV-1 / Q000276:immunology*; D015498:HIV-2 / Q000276:immunology*; D006801:Humans; D007124:Immunoenzyme Techniques; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000188:drug therapy / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged
D019380:Anti-HIV Agents