Acute Human Immunodeficiency Virus (HIV) Syndrome After Nonadherence to Antiretroviral Therapy in a Patient With Chronic HIV Infection: A Case Report.
We report a rare case of acute human immunodeficiency virus (HIV) syndrome in a patient with chronic HIV infection with acute illness indistinguishable from acute retroviral syndrome. The patient presented with an acute febrile mononucleosis-like illness after increasing nonadherence to antiretroviral therapy. A marked increase in HIV RNA level of 1 220 000 copies/mL from less than 20 copies/mL occurred within 3 weeks. The diagnosis of acute HIV syndrome was made after alternative causes of illness were ruled out.
Division of Infectious Diseases , Cedars-Sinai Medical Center , Los Angeles, California ; Infectious Diseases Section , VA Greater Los Angeles Healthcare System , California ; David Geffen School of Medicine at the University of California , Los Angeles.
Seong K
SK
Choi
Infectious Diseases Section , VA Greater Los Angeles Healthcare System , California ; David Geffen School of Medicine at the University of California , Los Angeles.
Christopher J
CJ
Graber
acute HIV syndrome; acute retroviral rebound syndrome; chronic HIV infection; nonadherence; viral rebound