title: Massive pulmonary thromboembolism and stroke.
abstract: A 38-year-old HIV-positive female, recently started on antiretroviral therapy, presented in extremis. She had features suggestive of an HIV-associated cardiomyopathy complicated by the following problems: a four-day-old stroke, extensive deep venous thrombosis, and massive pulmonary embolism. She received intravenous streptokinase with rapid improvement, both haemodynamically and, unexpectedly, neurologically. Our case illustrates that a positive outcome is potentially possible where the two conditions coincide.
authors.affiliation: Department of Medicine, Nelson R Mandela School of Medicine, UKZN, 4013 KwaZulu-Natal, South Africa.
authors.forename: Poobalan
authors.initials: P
authors.lastname: Naidoo
authors.forename: Richard
authors.initials: R
authors.lastname: Hift