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Atrial myxoma and HIV infection
  1. Andrew J Shaw,
  2. Ken A Mclean
  1. Department of Genitourinary Medicine, Charing Cross Hospital, Fulham Palace Road, London W6 8RF
  1. Dr Andrew Shaw, Department of Genitourinary Medicine, Northwick Park Hospital, Watford Road, Harrow, Middlesex HA1 3UJ

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Editor,—Atrial myxoma has not previously been reported in HIV infection. We describe a patient with advanced HIV disease who underwent surgery for this condition.

The patient was diagnosed with asymptomatic HIV infection in February 1987 when she was aged 50 years. Her CD4 count was 690 ×106/l at this time. HIV infection was acquired through sexual intercourse with a bisexual male partner. In December 1990 the CD4 lymphocyte count had fallen to 190 ×106/l and zidovudine monotherapy was started. This was continued until 1996 when she was prescribed a combination regimen. Co-trimoxazole was given …

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