Pulmonary Artery Hypertension Associated with HIV Infection in Nine Year-Old Child

https://doi.org/10.22146/aci.36638

Baskoro Adi Prabowo(1*), Abdus Samik Wahab(2), Hasanah Mumpuni(3)

(1) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta. Indonesia
(2) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta. Indonesia Department of Child Health, Faculty of Medicine, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta. Indonesia
(3) Department of Cardiology and Vascular Medicine, Faculty of Medicine, Universitas Gadjah Mada – Dr. Sardjito Hospital, Yogyakarta. Indonesia
(*) Corresponding Author

Abstract


Pulmonary arterial hypertension (PAH) is a serious life threatening and severe complication of
HIV infection. A PAH presentation in patient with HIV tends to non specific, result in recognized
diagnosis at a later stage. A 9 year-old HIV patient came to Pediatric Clinic with a chief complaint of worsening dyspneu for 1 month, leg edema and difficulty lying on a flat bed. Patient showed signs and symptoms that lead to pulmonary hypertension. An ECG findings were sinus rhythm, right axis deviation, and right ventricular hypertrophy. Echocardiography findings showed rightventricular and atrial enlargement, and high probability of pulmonary hypertension. Blood examination showed CD 4 was 84 cells/μL. The patient was managed as pulmonary artery
hypertension associated with HIV (HIV-PAH) infection.The patient was admitted for 3 weeks
and eventually discharged with relieve condition.


Keywords


pulmonary arterial hypertension; HIV infection

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DOI: https://doi.org/10.22146/aci.36638

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Copyright (c) 2018 Baskoro Adi Prabowo, Abdus Samik Wahab, Hasanah Mumpuni

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