Cryptococcal meningitis: an unusual presentation of primary HIV infection

2018 ◽  
Vol 29 (12) ◽  
pp. 1247-1249
Author(s):  
José Barletta ◽  
Adriana Falak ◽  
Héctor Pérez

Acute HIV infection presenting as severe opportunistic disease is a very uncommon event associated with more rapid HIV progression and higher mortality. We describe the case of a patient with cryptococcal meningitis in the setting of primary HIV infection.

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Julian Triebelhorn ◽  
Stefanie Haschka ◽  
Felix Hesse ◽  
Johanna Erber ◽  
Simon Weidlich ◽  
...  

Abstract Background Symptoms of primary HIV infection, including fever, rash, and headache, are nonspecific and are often described as flu-like. COVID-19 vaccination side effects, such as fever, which occur in up to 10% of people following COVID-19 vaccination, can make the diagnosis of acute HIV infection even more challenging. Case presentation A 26-year-old man presented with fever and headache following COVID-19 vaccination. The symptoms were initially thought to be vaccine side effects. A diagnostic workup was conducted due to persisting fever and headache > 72 h following vaccination, and he was diagnosed with Fiebig stage II acute HIV infection, 3 weeks after having unprotected anal intercourse with another man. Conclusion Thorough anamnesis is key to estimating the individual risk of primary HIV infection, in patients presenting with flu-like symptoms. Early diagnosis and initiation of antiretroviral therapy is associated with better prognosis and limits transmission of the disease.


2021 ◽  
Author(s):  
Julian Triebelhorn ◽  
Stefanie Julia Haschka ◽  
Felix Andreas Hesse ◽  
Johanna Erber ◽  
Simon Weidlich ◽  
...  

Abstract BackgroundSymptoms of primary HIV infection, including fever, rash, and headache, are nonspecific and are often described as flu-like. COVID-19 vaccination side effects, such as fever, which occur in up to 10% of people following COVID-19 vaccination, can make the diagnosis of acute HIV infection even more challenging.Case PresentationA 26-year-old man presented with fever and headache following COVID-19 vaccination. The symptoms were initially thought to be vaccine side effects. A diagnostic workup was conducted due to persisting fever and headache > 72 hours following vaccination, and he was diagnosed with Fiebig stage II acute HIV infection, 3 weeks after having unprotected anal intercourse with another man.ConclusionThorough anamnesis is key to estimating the individual risk of primary HIV infection, in patients presenting with flu-like symptoms. Early diagnosis and initiation of antiretroviral therapy is associated with better prognosis and limits transmission of the disease.


2019 ◽  
Vol 15 (8) ◽  
pp. e1007981 ◽  
Author(s):  
Daniel T. Claiborne ◽  
Eileen P. Scully ◽  
Christine D. Palmer ◽  
Jessica L. Prince ◽  
Gladys N. Macharia ◽  
...  

AIDS ◽  
1988 ◽  
Vol 2 (5) ◽  
pp. 399 ◽  
Author(s):  
Gustavo Cilia ◽  
Emilio Perez Trallero ◽  
José R. Furundarena ◽  
Emilio Cuadrado ◽  
José A. Iribarren ◽  
...  

HIV Medicine ◽  
2017 ◽  
Vol 18 (10) ◽  
pp. 777-781 ◽  
Author(s):  
J Tiraboschi ◽  
S Ray ◽  
K Patel ◽  
A Teague ◽  
M Pace ◽  
...  

2012 ◽  
Vol 50 (6) ◽  
pp. 1874-1878 ◽  
Author(s):  
Maile Y. Karris ◽  
Christy M. Anderson ◽  
Sheldon R. Morris ◽  
Davey M. Smith ◽  
Susan J. Little

AIDS ◽  
2007 ◽  
Vol 21 (5) ◽  
pp. 653-655 ◽  
Author(s):  
Salim S Abdool Karim ◽  
Koleka Mlisana ◽  
Ayesha BM Kharsany ◽  
Carolyn Williamson ◽  
Cheryl Baxter ◽  
...  

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