Asunto(s)
Piomiositis/diagnóstico , Infecciones Estafilocócicas/diagnóstico , Adolescente , Antibacterianos/administración & dosificación , Cloxacilina/administración & dosificación , Humanos , Pulmón/diagnóstico por imagen , Pulmón/patología , Imagen por Resonancia Magnética , Masculino , Músculo Esquelético/microbiología , Piomiositis/tratamiento farmacológico , Infecciones Estafilocócicas/tratamiento farmacológico , Staphylococcus aureus/aislamiento & purificación , Tomografía Computarizada por Rayos XRESUMEN
HIV/AIDS is a multisystemic disorder and occurrence of cardiovascular disease is higher compared to non-HIV individuals. Spontaneous coronary artery dissection (SCAD) remains a rare and underdiagnosed cause of acute coronary syndrome (ACS), even in modern day era. SCAD is predominantly seen in young to middle aged females and present as a non-atherosclerotic cause of myocardial ischaemia, infarction or sudden cardiac death (SCD); with or without ventricular arrythmias. Ventricular tachycardia (VT) can sometimes be the initial presentation of SCAD. HIV associated arteriopathy can predispose to occurrence of SCAD. We report a case of a 38-year-old male suffering from HIV/AIDS, with no conventional risk factors presenting as VT. Coronary angiogram showed SCAD in right coronary artery without any flow limitation.