Viruses (HIV) commonly presented with acute
seroconversion symptoms or opportunistic infections
from immunosuppression, but first presentation of HIV
with pulmonary embolism associated with active
Pneumocystis pneumonia (PCP) is very rare.
A 28-year-old man presented with history of fever
and cough associated with dyspnoea over 8 weeks and
gradually worsen till maximised 2 week prior to
admission. he did not improved inspite of antibiotics for
suspected pneumonia. Found to be HIV positive with
opportunistic infection. Computed Tomography
Pulmonary Angiogram (CTPA) confirmed the presence
of pulmonary embolism. He was treated successfully
with anticoagulants, steroids, and antibiotics .
discharged on base of clinical and radiological
Pulmonary embolism can be the first presentation of a
newly diagnosed with HIV patient.
The similar features of both viral pneumonia and
subacute pulmonary embolism can lead to delay
diagnosis, especially in the era of covid-19 pandemic
Keywords : Dyspnoea, HIV, Immunosuppression, Pneumocystis pneumonia, Pulmonary embolism.