Dilated cardiomyopathy as an early and rapidly progressive presentation in a woman with acquired immunodeficiency syndrome.

Cardiac disease associated with AIDS is common and is manifested by a variety of lesions. With the advances in therapy for common opportunistic infections, AIDS-associated cardiac abnormalities will play a prominent role in morbidity and mortality. This case illustrates a rapidly progressive and fetal course of AIDS-associated dilated cardiomyopathy in an HIV-infected young woman in relatively stable condition. It is important to be aware of the cardiac manifestations of AIDS so that one can undertake a rational diagnostic and therapeutic approach.

Recurrent bacterial endocarditis in a man with tetralogy of Fallot: earliest recurrence on record.

Enterococcal endocarditis occurred in a young man with tetralogy of Fallot who had just completed therapy for staphylococcal endocarditis. The patient had a transient reversal of flow through the ventricular septal defect during staphylococcal endocarditis with lung abscesses and had persistently elevated teichoic acid antibody titers during the second episode caused by enterococcus. Our review of the literature on recurrent infective endocarditis indicates that our case represents one of the shortest intervals of recurrence with a second organism.