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Case Reports in Infectious Diseases
Volume 2011 (2011), Article ID 246706, 4 pages
http://dx.doi.org/10.1155/2011/246706
Case Report

Undiagnosed HIV Presenting with Lymphoid Interstitial Pneumonitis

College of Human Medicine, Michigan State University, 15 Michigan Street NE, Grand Rapids, MI 49503, USA

Received 7 June 2011; Accepted 8 August 2011

Academic Editors: P. Horrocks, A. Mangano, V. Misra, and D. L. Palazzi

Copyright © 2011 Jason J. Rizqallah et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Undiagnosed or untreated human immunodeficiency virus infection can lead to devastating complications. We present a case of a 41-year-old woman who was found to have HIV-related lymphoid interstitial pneumonitis. LIP is uncommon, and its presentation can be quite similar to that of other chronic lung conditions. This case illustrates one of the possible protean manifestations of untreated HIV and is a sobering reminder of the need to screen all adults for HIV infection. Additionally, further invasive diagnostic testing may be required to guide therapy in patients with advanced acquired immune deficiency syndrome. This patient's LIP was likely related to long-standing unrecognized HIV disease.