HOWARD DITTRICH, M.D.; LEON CHOW, M.D.; FRANK DENARO, Ph.D.; STEPHEN SPECTOR, M.D.
To the editor: We read with interest the report by Calabrese and associates (1) on a patient with the acquired immunodeficiency syndrome (AIDS) who developed a congestive cardiomyopathy and subsequently had human immunodeficiency virus (HIV) cultured from an endomyocardial biopsy specimen. In October 1986, we treated a 28-year-old gay man with a 1-month history of temperature to 40 °C, chills, cough, nausea, and anemia. A gallium scan showed abnormal myocardial uptake, and a subsequent echocardiogram showed four-chamber enlargement and depressed systolic function without evidence of primary valvular disease. Because of symptoms of congestive heart failure, cardiac catheterization was done, including
DITTRICH H, CHOW L, DENARO F, SPECTOR S. Human Immunodeficiency Virus, Coxsackievirus, and Cardiomyopathy. Ann Intern Med. 1988;108:308–309. doi: 10.7326/0003-4819-108-2-308_2
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Published: Ann Intern Med. 1988;108(2):308-309.
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