1Cademy - New HIV diagnoses in patients with COVID-19: two case reports and a brief literature review

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New HIV diagnoses in patients with COVID-19: two case reports and a brief literature review

This paper describes two instances of patients who were diagnosed with both COVID-19 and HIV as simultaneous infections
Patient 1 had severe pulmonary issues including, but not limited to ground-glass opacities in the lungs, pulmonary lesions, and severe chest tightness. However, patient 1 was not formally diagnosed with COVID-19 officially until day 23 of hospitalization with multiple previous negative throat swab tests
Additionally, patient 1 also had severe immune issues including low lymphocyte count, elevated IgG and IgM, and decreases monocyte count
Patient 1’s symptoms culminated in a diagnosis of HIV on day 23 where on day 25 they had to be moved to a different hospital for additional treatment
Patient 2 exhibited an extremely high fever peaking on day 4 at 39.4°C (102.9°F) also exhibiting broad shadowing of lungs accompanied by ground glass opacities. Additionally, patient 2 also was not formally diagnosed with COVID-19 until day 25 of hospitalization with multiple throat swab tests coming back negative
Patient 2’s immunological condition worsened as hospitalization continued as lymphocyte and leucocyte counts continued to decrease
Patient 2 was diagnosed with HIV on day 25 of hospitalization and started antiretroviral treatment

Updated 2020-10-25

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