Acute human immunodeficiency virus infection presenting as mononucleosis-like illness, acute hepatitis, and aseptic meningoencephalitis

摘要

Common clinical presentations of acute human immunodeficiency virus (HIV) infection include pharyngitis, fever, fatigue, rash, and headache [1]. Mononucleosis-like illness (MLI), aseptic meningitis, hepatitis, pneumonitis, acute myocarditis, and pneumocystic pneumonia are rare manifestations, and have not been reported with concomitant occurrence [1], [2]. We report herein a case of acute HIV infection with complicated presentations, including MLI, acute hepatitis, splenomegaly, and aseptic meningoencephalitis.