Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review

A 26-year-old male presented to the emergency department feeling unwell in February of 2021 with symptoms including diaphoresis, loose stools, and loss of taste sensation. Workup not only confirmed a diagnosis of COVID-19 but also revealed discordant HIV test results, with a reactive fourth-generati...

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Autores principales:	Kelly A. Johnson, Sally Graglia, Elizabeth D. Lynch, Joanna De Mesa, Erin Antunez, Sandra Torres, Susa Coffey, Stephanie E. Cohen
Formato:	article
Lenguaje:	EN
Publicado:	Hindawi Limited 2021
Materias:	Medicine R
Acceso en línea:	https://doaj.org/article/97309723daa84af99414d47bda1d69c2
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spelling	oai:doaj.org-article:97309723daa84af99414d47bda1d69c22021-11-29T00:56:40ZConcurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review1687-963510.1155/2021/2653678https://doaj.org/article/97309723daa84af99414d47bda1d69c22021-01-01T00:00:00Zhttp://dx.doi.org/10.1155/2021/2653678https://doaj.org/toc/1687-9635A 26-year-old male presented to the emergency department feeling unwell in February of 2021 with symptoms including diaphoresis, loose stools, and loss of taste sensation. Workup not only confirmed a diagnosis of COVID-19 but also revealed discordant HIV test results, with a reactive fourth-generation antigen/antibody test but a negative HIV-1/2 differentiation immunoassay. Subsequent HIV viral load testing obtained two days later ultimately established a diagnosis of acute HIV (AHI). Screening for HIV and other sexually transmitted infections decreased during the COVID-19 pandemic. It is critical that providers (1) continue recommended screening for HIV as an essential service; (2) consider acute HIV in the differential when evaluating patients with acute viral syndromes; (3) recognize that AHI can occur concurrently with other infections, including COVID-19; and (4) understand the differential diagnosis for discordant HIV test results and know when HIV viral load testing is needed to resolve such discordant results.Kelly A. JohnsonSally GragliaElizabeth D. LynchJoanna De MesaErin AntunezSandra TorresSusa CoffeyStephanie E. CohenHindawi LimitedarticleMedicineRENCase Reports in Medicine, Vol 2021 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R
spellingShingle	Medicine R Kelly A. Johnson Sally Graglia Elizabeth D. Lynch Joanna De Mesa Erin Antunez Sandra Torres Susa Coffey Stephanie E. Cohen Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review
description	A 26-year-old male presented to the emergency department feeling unwell in February of 2021 with symptoms including diaphoresis, loose stools, and loss of taste sensation. Workup not only confirmed a diagnosis of COVID-19 but also revealed discordant HIV test results, with a reactive fourth-generation antigen/antibody test but a negative HIV-1/2 differentiation immunoassay. Subsequent HIV viral load testing obtained two days later ultimately established a diagnosis of acute HIV (AHI). Screening for HIV and other sexually transmitted infections decreased during the COVID-19 pandemic. It is critical that providers (1) continue recommended screening for HIV as an essential service; (2) consider acute HIV in the differential when evaluating patients with acute viral syndromes; (3) recognize that AHI can occur concurrently with other infections, including COVID-19; and (4) understand the differential diagnosis for discordant HIV test results and know when HIV viral load testing is needed to resolve such discordant results.
format	article
author	Kelly A. Johnson Sally Graglia Elizabeth D. Lynch Joanna De Mesa Erin Antunez Sandra Torres Susa Coffey Stephanie E. Cohen
author_facet	Kelly A. Johnson Sally Graglia Elizabeth D. Lynch Joanna De Mesa Erin Antunez Sandra Torres Susa Coffey Stephanie E. Cohen
author_sort	Kelly A. Johnson
title	Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review
title_short	Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review
title_full	Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review
title_fullStr	Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review
title_full_unstemmed	Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review
title_sort	concurrent covid-19 and acute hiv: a case report and diagnostic review
publisher	Hindawi Limited
publishDate	2021
url	https://doaj.org/article/97309723daa84af99414d47bda1d69c2
work_keys_str_mv	AT kellyajohnson concurrentcovid19andacutehivacasereportanddiagnosticreview AT sallygraglia concurrentcovid19andacutehivacasereportanddiagnosticreview AT elizabethdlynch concurrentcovid19andacutehivacasereportanddiagnosticreview AT joannademesa concurrentcovid19andacutehivacasereportanddiagnosticreview AT erinantunez concurrentcovid19andacutehivacasereportanddiagnosticreview AT sandratorres concurrentcovid19andacutehivacasereportanddiagnosticreview AT susacoffey concurrentcovid19andacutehivacasereportanddiagnosticreview AT stephanieecohen concurrentcovid19andacutehivacasereportanddiagnosticreview
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Concurrent COVID-19 and Acute HIV: A Case Report and Diagnostic Review

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