부산대학교 도서관

Acute human immunodeficiency virus (HIV) infection could be challenging to diagnosis due to lack of awareness, unspecific clinical presentations and limited information available. Furthermore, it was rare of acute HIV infection to present with cardiomyopathy. This was a case of 17-year-8-month boy admitted for intermittent fever for 5 days, with accompanying symptoms of sore throat and diarrhea. The clinical course was complicated by massive lower gastrointestinal bleeding, shock and multi-organ failure. The diagnosis of an acute HIV infection was made with a markedly high viral load (＞10,000,000 copies /mL), accompanied with myocarditis and acute heart failure. Cytomegalovirus viremia was found. The patient was treated with Ganciclovir along with broad-spectrum antibiotics. His clinical condition improved after treatments. One and a half year later at clinic follow-up, the echocardiography showed normalization of left ventricular systolic function.