PT - JOURNAL ARTICLE AU - Longworth, David L. AU - Spech, Thomas J. AU - Ahmad, Muzaffar AU - Sharp, David E. AU - Fishleder, Andrew J. AU - Yen-Lieberman, Belinda AU - Proffitt, Max R. TI - Lymphocytic alveolitis in primary HIV infection DP - 1990 Jun 01 TA - Cleveland Clinic Journal of Medicine PG - 379--382 VI - 57 IP - 4 4099 - http://www.ccjm.org/content/57/4/379.short 4100 - http://www.ccjm.org/content/57/4/379.full SO - Cleve Clin J Med1990 Jun 01; 57 AB - Primary infection with the human immunodeficiency virus (HIV-1) has been associated with a self-limited illness resembling acute infectious mononucleosis. Pulmonary manifestations have been notably absent in published reports. The authors describe a 28-year-old homosexual male who presented with primary HIV-1 infection associated with CD8+ lymphocytic alveolitis. Diagnosis was delayed because HIV antibody was not detected by the Abbott ELISA, although the same and subsequent specimens were later found to be positive by Genetic Systems’ ELISA and Western blot analysis. Lymphocytic alveolitis must be added to the expanding clinical spectrum of acute HIV-1 infection. The time to detection of serocon-version may vary with different immunoassays.