Case 30-2012 — A 54-Year-Old Woman with HIV Infection, Dyspnea, and Chest Pain

September 30, 2012 at 4:05 pm

N Engl J of Medic September 27, 2012 V.367  P.1246-1254

 

CASE RECORDS OF THE MASSACHUSETTS GENERAL HOSPITAL

Steven G. Deeks, M.D., Rajesh T. Gandhi, M.D., Claudia U. Chae, M.D., and Kent B. Lewandrowski, M.D.

From the Department of Medicine, San Francisco General Hospital, San Francisco (S.G.D.); and the Departments of Medicine (R.T.G., C.U.C.) and Pathology (K.B.L.), Massachusetts General Hospital; the Ragon Institute of MGH, MIT, and Harvard (R.T.G.); and the Departments of Medicine (R.T.G., C.U.C.) and Pathology (K.B.L.), Harvard Medical School — all in Boston.

PRESENTATION OF CASE

A 54-year-old woman with human immunodeficiency virus (HIV) infection was admitted to this hospital because of dyspnea and chest pain.

The patient had been in her usual health until approximately 10 days before admission, when episodes of increasing dyspnea on exertion developed. Approximately 1 hour before presentation, substernal chest pain developed during sexual intercourse, associated with dyspnea, nausea, and diaphoresis. She came to the emergency department at this hospital….

PDF

http://www.nejm.org/doi/pdf/10.1056/NEJMcpc1200090

 

Entry filed under: Antirretrovirales, HIV/SIDA, HIV/SIDA Trastornos Cardíacos, REPORTS.

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