A 62-year-old Bolivian man residing in Spain since 2002, diagnosed with human immunodeficiency
virus (HIV) infection in 2014 and with poor adherence to antiretroviral therapy (bictegravir/emtricitabine/tenofovir
alafenamide), presented to the Emergency Department with 2-month history of asthenia,
myalgias, and weakness. He complained of increased weakness and pain in his right
arm, in addition to edema and distal paresthesia 10 days after he received the pneumococcal
conjugate vaccine (Prevenar 13) in the same arm. His most recent CD4+ T-cell count
was 174 cells/mL and he had a viral load of 114 copies/mL.
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Article Info
Publication History
Published online: February 27, 2022
Thomas J. Marrie, MD, Section EditorFootnotes
Funding: None.
Conflicts of Interest: MGH-M has received fees for advisory, conferences, and clinical trials from Gilead Sciences, ViiV Healthcare, and Janssen. All other authors declare no potential conflicts of interest.
Authorship: All authors had access to the data and a role in writing this manuscript. MLA: Conceptualization, Methodology, Writing - original draft, Writing - review & editing, Visualization, Supervision; EUSM: Conceptualization, Methodology, Writing - original draft, Writing - review & editing; SCM: Conceptualization, Methodology, Writing - original draft, Writing - review & editing, Visualization, Supervision; FLE: Conceptualization, Writing - review & editing, Supervision; JFA: Conceptualization, Writing - review & editing; MGH-M: Conceptualization, Writing - review & editing, Supervision.
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