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강용석 ( Yong Seok Kang ),하성삼 ( Seong Sam Ha ),성재호 ( Jae Ho Seong ),한용재 ( Yong Jae Han ),임유리 ( Yoo Li Lim ),이태식 ( Tae Sic Lee ),김효열 ( Hyo Yeol Kim ),김영근 ( Young Keun Kim ),김종구 ( Jong Koo Kim ),박연철 ( Yon 전북대학교 의과학연구소 2014 全北醫大論文集 Vol.38 No.2
Indeterminate western blot in HIV infection can be due to seroconversion during acute HIV infection, advanced HIV infection or infection with HIV-2. In this report, we describe a patient whose advanced HIV infection was identified by a positive combined antigen/ antibody test and detectable viremia, with an inch of being misdiagnosed as acute HIV syndrome. A 23-year-old male was admitted with fever, myalgia, diarrhea and weight loss. He denied previous history of HIV infection, sexual contact and transfusion. Indeterminate western blot result made us misdiagnosis as a seroconversion in acute HIV syndrome. He denied his disease and insisted to delay antiretroviral therapy until positive western blot results. We had question about very low CD4 cell count (22/uL), and asked HIV/AIDS national registry for his previous registration. He was diagnosed HIV infection via blood donor screening 22 months before admission, but was not informed of the result. Finally the patient was confirmed advanced HIV infection and started antiretroviral therapy.