Case Report
Arterial Thrombosis in Patients with Human Immunodeficiency Virus: Two-Case Reports and Review of the Literature
Table 1
Summary of the two cases.
| | Characteristics | Case 1 | Case 2 |
| | Age (years) | 42 | 42 | | Sex | F | M | | Personal and family histories | None | Buruli’s ulcer | | ARV start | 2003 | 2009 | | Type ARV | Abc + ddl + lopinavir + ritonavir | AZT, 3TC, NVP | | ARV’s other complications | Dyslipidemia, hypertension, lipodystrophia | None | | Hospitalization period | 5th–21st September 2010 | 23rd–28th October 2010 | | Examination | Right pyramidal syndrome | Subacute limb ischaemia | | Others signs | None | None | | Thrombus localization | left ICA | FSA, PA, FSV, left PV | | Others Doppler lesions | Carotid atherosclerosis | None | | Biological syndrome associated | Protein S deficiency | Antiphospholipid syndrome | | CD4 count/ | 645 | 155 | | viral load(copies/) | Undetectable | 242,000 | | Treatment | UFH, AVK | UFH, aspirin, AVK | | Evolution | Partial recanalization, motor sequels | Good |
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SFA: superficial femoral artery, SFV: superficial femoral vein, PA: popliteal artery, PV: popliteal vein, ICA: internal carotid artery, LV: left ventricular, UFH: unfractionated heparin, AVK: antivitamin K, AZT: zidovudin, Abc: abacavir, ddl: didanosin, 3TC: lamivudin, and NVP: névirapin.
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