Document 0709
 DOCN  M94A0709
 TI    Pneumonitis in association with primary HIV illness.
 DT    9412
 AU    Kelly M; Lloyd A; Jones P; Department of Infectious Diseases, Prince
       Henry Hospital, Little; Bay, Sydney.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:26 (abstract no.
       TC-1). Unique Identifier : AIDSLINE ASHM5/94348946
 AB    A 27 year old homosexual male presented initially with a 5 day illness
       characterised by fever and rash. Apart from a maculopapular rash there
       was no physical abnormality. The symptoms resolved spontaneously over a
       four day period. At presentation P24Ag was positive and then became
       negative whereas tests for HIV antibody were initially negative and then
       became positive over a two week period. At presentation the CD4 count
       was 180 x 10(6)/l and CD8 count was 340 x 10(6)/l. Four weeks after
       discharge the patient represented with a 7 day febrile illness with
       dyspnoea and cough. Fine crepitations were heard at the lung bases. The
       PaO on room air was 73mmHg. The chest x-ray was normal. A bronchoscopy
       was macroscopically normal. Immunofluorescent studies for Pneumocystis
       carinii were negative. Bronchoalveolar lavage cell count revealed 60%
       lymphocytes (73% CD8 and 18% CD4). The peripheral blood CD4 and CD8 cell
       count were 250 x 10(6)/l and 1190 x 10(6)/l respectively. The patient
       was commenced on steroids and supplemental oxygen and improved over a
       three day period. Steroids were subsequently reduced and the patient
       remained well. Pneumonitis is a rare but significant complication of
       primary HIV illness which may respond to steroids.
 DE    Adrenal Cortex Hormones/THERAPEUTIC USE  Adult  Case Report  Combined
       Modality Therapy  CD4-CD8 Ratio  Diagnosis, Differential  Homosexuality
       Human  HIV Seropositivity/*DIAGNOSIS/DRUG THERAPY/IMMUNOLOGY  Leukocyte
       Count  Male  Oxygen Inhalation Therapy  Pneumonia/*DIAGNOSIS/DRUG
       THERAPY/IMMUNOLOGY  T4 Lymphocytes/IMMUNOLOGY  MEETING ABSTRACT

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