Naidoo Poobalan, Hift Richard
Department of Medicine, Nelson R Mandela School of Medicine, UKZN, 4013 KwaZulu-Natal, South Africa.
Case Rep Med. 2011;2011:398571. doi: 10.1155/2011/398571. Epub 2011 Sep 28.
A 38-year-old HIV-positive female, recently started on antiretroviral therapy, presented in extremis. She had features suggestive of an HIV-associated cardiomyopathy complicated by the following problems: a four-day-old stroke, extensive deep venous thrombosis, and massive pulmonary embolism. She received intravenous streptokinase with rapid improvement, both haemodynamically and, unexpectedly, neurologically. Our case illustrates that a positive outcome is potentially possible where the two conditions coincide.
一名38岁的HIV阳性女性，最近开始接受抗逆转录病毒治疗，病情危急。她有提示HIV相关性心肌病的特征，并伴有以下问题：四天前发生的中风、广泛的深静脉血栓形成和大面积肺栓塞。她接受了静脉注射链激酶治疗，血流动力学和神经功能方面均迅速改善，出人意料的是神经功能也得到了改善。我们的病例表明，当这两种情况同时出现时，有可能获得积极的治疗结果。
