Pulmonary Artery Hypertension Associated with HIV Infection in Nine Year-Old Child

Abstract

Pulmonary arterial hypertension (PAH) is a serious life threatening and severe complication of HIV infection. A PAH presentation in patient with HIV tends to non specific, result in recognized diagnosis at a later stage. A 9 year-old HIV patient came to Pediatric Clinic with a chief complaint of worsening dyspneu for 1 month, leg edema and difficulty lying on a flat bed. Patient showed signs and symptoms that lead to pulmonary hypertension. An ECG findings were sinus rhythm, right axis deviation, and right ventricular hypertrophy. Echocardiography findings showed right ventricular and atrial enlargement, and high probability of pulmonary hypertension. Blood examination showed CD 4 was 84 cells/µL. The patient was managed as pulmonary artery hypertension associated with HIV (HIV-PAH) infection.The patient was admitted for 3 weeks and eventually discharged with relieve condition.