Abstract
Drake DF, Burnett DM. How significant is persistent chest pain in a young HIV-positive
patient during acute inpatient rehabilitation? A case report. Arch Phys Med Rehabil
2002;83:1031-2. Chest pain in a patient with acquired immune deficiency syndrome (AIDS)
has a broad differential diagnosis including, but not limited to, coronary artery
disease, gastroesophageal reflux, fungal esophagitis, and musculoskeletal pain. However,
spontaneous pneumothorax must also be added to the list of possibilities. Spontaneous
pneumothorax occurs 450 times more frequently in patients with AIDS versus the general
population and is now the leading cause of nontraumatic pneumothorax in the urban
population, to include both those with and without AIDS. Because many patients with
human immunodeficiency virus (HIV) are young and typically devoid of comorbidity,
the presentation of this pulmonary complication may be subtle. HIV-positive patients
are receiving rehabilitation services more frequently; therefore, the physiatrist
must be aware of the potential for spontaneous pneumothorax to be an etiology of chest
pain. We present a case exemplifying the need for rehabilitation professionals to
maintain a broad-based approach when caring for patients with HIV and AIDS. © 2002 by the American Congress of Rehabilitation Medicine and the American Academy
of Physical Medicine and Rehabilitation
Keywords
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Article Info
Publication History
Accepted:
August 23,
2001
Received in revised form:
August 23,
2001
Footnotes
☆No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.
☆☆Reprint requests to David F. Drake, MD, PO Box 980677, Richmond, VA 23298, e-mail: [email protected] .
Identification
Copyright
© 2002 American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.
