A case of pulmonary infarction induced by undiagnosed HIV

A 25-year-old Chinese man visited our institution due to fever and left chest pain. A chest CT showed infiltrative shadows with pleural effusion. Despite antibiotics treatment, his symptoms gradually worsened. The contrast CT showed deterioration of infiltrative shadows with thromboembolism in pulmo...

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Main Authors: Tomohiro Akaba, Mitsuko Kondo, Fumi Kobayashi, Osamitsu Yagi, Kiyoshi Takeyama, Shuji Sakai, Etsuko Tagaya
Format: Article
Language:English
Published: Elsevier 2020-01-01
Series:Respiratory Medicine Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2213007120305074
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author Tomohiro Akaba
Mitsuko Kondo
Fumi Kobayashi
Osamitsu Yagi
Kiyoshi Takeyama
Shuji Sakai
Etsuko Tagaya
author_facet Tomohiro Akaba
Mitsuko Kondo
Fumi Kobayashi
Osamitsu Yagi
Kiyoshi Takeyama
Shuji Sakai
Etsuko Tagaya
author_sort Tomohiro Akaba
collection DOAJ
description A 25-year-old Chinese man visited our institution due to fever and left chest pain. A chest CT showed infiltrative shadows with pleural effusion. Despite antibiotics treatment, his symptoms gradually worsened. The contrast CT showed deterioration of infiltrative shadows with thromboembolism in pulmonary arteries, suggesting pulmonary infarction. Thereafter, his HIV test turned out to be positive. His symptoms and radiological findings improved after initiation of an anticoagulant therapy. No known risk factors for thromboembolism were identified except HIV infection. The possibility of pulmonary thrombosis should be noted when the HIV patient with acute chest pain and pneumonia-like infiltrative shadow is seen.
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spelling doaj.art-e0ef47d28c1f4a4681723cd39d322f6a2022-12-21T22:52:53ZengElsevierRespiratory Medicine Case Reports2213-00712020-01-0131101293A case of pulmonary infarction induced by undiagnosed HIVTomohiro Akaba0Mitsuko Kondo1Fumi Kobayashi2Osamitsu Yagi3Kiyoshi Takeyama4Shuji Sakai5Etsuko Tagaya6Department of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, JapanDepartment of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, Japan; Corresponding author. Department of Respiratory Medicine, Tokyo Women's Medical University, 8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666, Japan.Department of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, JapanDepartment of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, JapanDepartment of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, JapanDepartment of Diagnostic Imaging and Nuclear Medicine, Tokyo Women's Medical University, Tokyo, JapanDepartment of Respiratory Medicine, Tokyo Women's Medical University, Tokyo, JapanA 25-year-old Chinese man visited our institution due to fever and left chest pain. A chest CT showed infiltrative shadows with pleural effusion. Despite antibiotics treatment, his symptoms gradually worsened. The contrast CT showed deterioration of infiltrative shadows with thromboembolism in pulmonary arteries, suggesting pulmonary infarction. Thereafter, his HIV test turned out to be positive. His symptoms and radiological findings improved after initiation of an anticoagulant therapy. No known risk factors for thromboembolism were identified except HIV infection. The possibility of pulmonary thrombosis should be noted when the HIV patient with acute chest pain and pneumonia-like infiltrative shadow is seen.http://www.sciencedirect.com/science/article/pii/S2213007120305074Pulmonary infarctionHIV infectionProthrombotic condition
spellingShingle Tomohiro Akaba
Mitsuko Kondo
Fumi Kobayashi
Osamitsu Yagi
Kiyoshi Takeyama
Shuji Sakai
Etsuko Tagaya
A case of pulmonary infarction induced by undiagnosed HIV
Respiratory Medicine Case Reports
Pulmonary infarction
HIV infection
Prothrombotic condition
title A case of pulmonary infarction induced by undiagnosed HIV
title_full A case of pulmonary infarction induced by undiagnosed HIV
title_fullStr A case of pulmonary infarction induced by undiagnosed HIV
title_full_unstemmed A case of pulmonary infarction induced by undiagnosed HIV
title_short A case of pulmonary infarction induced by undiagnosed HIV
title_sort case of pulmonary infarction induced by undiagnosed hiv
topic Pulmonary infarction
HIV infection
Prothrombotic condition
url http://www.sciencedirect.com/science/article/pii/S2213007120305074
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