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Diagnostic 'nightmares' in an HIV patient with a cardiac mass and a previous history of tuberculosis.

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Case description We describe the case of a 51-year-old man with a history of intravenous drug abuse and a chronic history of HIV infection, adequately controlled by antiretroviral therapy (ART;… Click to show full abstract

Case description We describe the case of a 51-year-old man with a history of intravenous drug abuse and a chronic history of HIV infection, adequately controlled by antiretroviral therapy (ART; CD4รพ lymphocytes 0.8 10/l, blood HIV1-RNA undetectable). He had suffered from pulmonary tuberculosis (TB) 8 years before, with associated extrapulmonary uveitis, treated with the standard therapy with no evidence of TB progression at the last follow-up. He also had hepatitis C virus-related chronic liver disease. Despite a familial history of cardiovascular disease (ischemic) and the presence of multiple cardiovascular risk factors (hypertension, smoke, dyslipidemia), the patient was totally asymptomatic for any cardiac illness.

Keywords: diagnostic nightmares; patient cardiac; tuberculosis; nightmares hiv; history; hiv patient

Journal Title: Journal of Cardiovascular Medicine
Year Published: 2019

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