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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Delayed diagnosis of human immunodeficiency virus infection in a patient with non-specific neurological symptoms and pancytopenia: a case report

Zeitschrift:
Journal of Medical Case Reports > Ausgabe 1/2014
Autoren:
Marcin Moniuszko, Andrzej Moniuszko, Justyna Puciłowska, Karolina Kisluk, Marta Jeznach, Anna Grzeszczuk, Robert Flisiak, Anna Bodzenta-Lukaszyk
Wichtige Hinweise

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

MM diagnosed the patient, provided and analyzed clinical data and drafted the manuscript; AM analyzed clinical data and drafted the manuscript; JP and KK analyzed clinical data; AG and RF diagnosed and treated the patient; MJ and AB-L helped to diagnose the patient, provided and analyzed clinical data. All authors reviewed and approved the final version of the manuscript.

Abstract

Introduction

Both non-specific presentation and asymptomatic course of human immunodeficiency virus infection lead to undiagnosed long-term persistence of the virus in a patient's organism.

Case presentation

Here, we present a case of a 31-year-old Caucasian man with non-specific neurological symptoms and pancytopenia, who was referred to an internal medicine ward for further diagnosis. Upon admission to our hospital, he denied any past risky behaviors and refused to have his blood collected for human immunodeficiency virus testing. Later, he eventually provided consent to conduct the human immunodeficiency virus test which turned out to have a positive result. The overall clinical pattern indicated an advanced-stage of acquired immunodeficiency syndrome, which contrasted with the history he had provided.

Conclusions

This case report indicates the need to consider human immunodeficiency virus/acquired immunodeficiency syndrome diagnosis in patients with non-specific neurological and hematological disorders. Our report also demonstrates difficulties that can be experienced by the physician while trying to obtain both a clear history and consent to perform human immunodeficiency virus testing.

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