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Case Rep Med. 2011;2011:398571. doi: 10.1155/2011/398571. Epub 2011 Sep 28.

Massive pulmonary thromboembolism and stroke.

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Department of Medicine, Nelson R Mandela School of Medicine, UKZN, 4013 KwaZulu-Natal, South Africa.


A 38-year-old HIV-positive female, recently started on antiretroviral therapy, presented in extremis. She had features suggestive of an HIV-associated cardiomyopathy complicated by the following problems: a four-day-old stroke, extensive deep venous thrombosis, and massive pulmonary embolism. She received intravenous streptokinase with rapid improvement, both haemodynamically and, unexpectedly, neurologically. Our case illustrates that a positive outcome is potentially possible where the two conditions coincide.

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