[37-year old patient with fever, diarrhea and lymphadenopathy].
A 37-year-old homosexual man was admitted because of oropharyngeal pain, fever, diarrhea, loss of weight and lymphadenopathy since one week. Acute retroviral syndrome (ARS) in primary HIV type 1 infection was diagnosed, associated with Giardia lamblia infection. Antiinfective and combined antiretroviral treatment was established, and the general condition of the patient rapidly improved. The presented report demonstrates that in case of acute HIV-infection with diarrhea other infections should be considered, particularly with regard to enteropathogens like Giardia lamblia.
Kreft
B
B
Universitätsklinik und Poliklinik für Dermatologie und Venerologie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Kromayer-Strasse 5, 06097, Halle (Saale), Germany. burkhard.kreft@medizin.uni-halle.de
Oehme
A
A
Lübbert
C
C
Marsch
W C
WC
Kekulé
A S
AS
D015492:AIDS Serodiagnosis; D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000188:drug therapy; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000935:Antifungal Agents / Q000627:therapeutic use; D023241:Antiretroviral Therapy, Highly Active; D002180:Candidiasis, Oral / Q000175:diagnosis / Q000188:drug therapy; D002939:Ciprofloxacin / Q000627:therapeutic use; D017291:Clarithromycin / Q000627:therapeutic use; D003937:Diagnosis, Differential; D003967:Diarrhea / Q000209:etiology*; D004359:Drug Therapy, Combination; D005335:Fever of Unknown Origin / Q000209:etiology*; D015725:Fluconazole / Q000627:therapeutic use; D016829:Giardia lamblia; D005873:Giardiasis / Q000175:diagnosis* / Q000188:drug therapy; D006679:HIV Seropositivity / Q000175:diagnosis*; D015497:HIV-1; D018451:Homosexuality, Male; D006801:Humans; D015151:Immunoblotting; D008206:Lymphatic Diseases / Q000209:etiology*; D008297:Male; D008795:Metronidazole / Q000627:therapeutic use; D009853:Omeprazole / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D000935:Antifungal Agents; D008795:Metronidazole; D002939:Ciprofloxacin; D015725:Fluconazole; D017291:Clarithromycin; D009853:Omeprazole