Dilated cardiomyopathy as an early and rapidly progressive presentation in a woman with acquired immunodeficiency syndrome.

Cardiac disease associated with AIDS is common and is manifested by a variety of lesions. With the advances in therapy for common opportunistic infections, AIDS-associated cardiac abnormalities will play a prominent role in morbidity and mortality. This case illustrates a rapidly progressive and fetal course of AIDS-associated dilated cardiomyopathy in an HIV-infected young woman in relatively stable condition. It is important to be aware of the cardiac manifestations of AIDS so that one can undertake a rational diagnostic and therapeutic approach.