Primary HIV Infection Presenting with Acute Pancreatitis

Symptomatic seroconversion to HIV usually consists of a flu-like illness, sometimes with neurological manifestations, rarely with AIDS features. A 33-y-old Nigerian woman presented with an emergency-based diagnosis of acute gastroenteritis. An abdominal ultrasound study showed mild hepatomegaly, enlarged pancreatic head and body and normal calibre of the biliary tree. After 14 d, antibodies for HIV-1 were positive, WB was positive to all proteins, HIV-Ag was negative and viral load declined to 4.45 log sub(10) copies/ml. Based on clinical and laboratory data, acute pancreatitis during HIV seroconversion was diagnosed.