Case 37-2013: A 41-Year-Old Woman with Malaise and Chest and Abdominal Pain

A 41-year-old woman with a history of HIV infection was admitted to the hospital because of malaise and chest and abdominal pain. Initial laboratory evaluation was notable for elevated hepatic aminotransferase levels. Diagnostic procedures were performed. Presentation of Case Dr. Mathias Lichterfeld (Medicine): A 41-year-old woman with a history of human immunodeficiency virus (HIV) infection was admitted to the hospital because of malaise and chest and abdominal pain. The patient had been well until approximately 2 weeks before presentation, when fatigue and malaise gradually developed. One week before presentation, she was seen in the outpatient clinic at this hospital for routine HIV follow-up. She reported having had unprotected intercourse with a new HIV-positive male partner 1 month earlier and was concerned about sexually transmitted diseases. Physical examination was normal. A complete blood count, measurement of electrolyte . . .