Tick- borne infection revealing human immunodeficiency virus (HIV) positivity in a young adult

摘要

PurposeTo describe a patient whose retinal findings suggestive of tick-borne disease but evaluations led to early diagnosis and treatment of human immunodeficiency virus (HIV) infection.ObservationA young patient presented with bilateral uveitis, branch retinal artery occlusion and retinal findings suggestive of infective/inflammatory etiology. Laboratory evaluations revealed that the patient was positive for co-infection withRickettsia conoriiandBartonella henselae. On further investigation, the patient tested positive for HIV infection. The patient was treated with doxycycline as well as highly active anti-retroviral therapy (HAART) to control both opportunistic infections as well as HIV infection.Conclusion and ImportancePatients with HIV infection are at risk for multiple, simultaneous opportunistic co-infections, including those with tick-borne diseases.