FIRST CASE REPORT OF AIDS CAUSED BY INFUSION OF BLOOD PRODUCT IN THE TAIWAN AREA

Professor Ming-Ching Shen

1987 Vol.3 NO.10

Correspondence Author：

Abstract：

On August 31, 1987 a 38-year-old male hemophiliac was admitted to National Taiwan University Hospital (NTUH) with the symptoms of AIDS-related complex including intermittent fever, weight loss for three months and diarrhea for ten days. The patient’s medical history was traced back to April 1985 when the results of his HJV antibody screening test was first found to be positive and remained positive during subsequent routine follow-up tests. The patient’s platelet number was noted to be decreasing since May 1986. Hepatomegaly, reversed ratio of T4/T8(T4/T8 =0.38), intermittent high fever, cold sweats, weight loss, productive cough, whitish thrush, diarrhea and poor memory developed beginning in March of this year. Response to medication is limited and the above-described conditions are deteriorating gradually. Laboratory examinations after admission revealed abnormal findings including severe leucopenia (especially the platelet); a persistent positive result on the HIV test; T4/T8 = 0.09; elevated liver function and amylase; mild proteinuria; weak positive results on herpes simplex and toxoplasma serologic antibody tests; albican candida found from throat swab and sputum culture; acid fast stain of sputum revealing abundant acid fast bacteria and diffuse miliary lesions in both lung fields as shown on a chest X-ray: Patient is still under observation and treatment in NTUH at the time of this report.