Enteroinvasive Escherichia coli infection in a noncompliant HIV patient

Abstract

Poorly controlled HIV infection increases the risk of opportunistic infections. We are presenting here a case of an HIV patient who was non-compliant with highly active antiretroviral therapy (HAART) regimen and who developed a diarrheal illness secondary to enteroinvasive Escherichia coli (EIEC) infection. The patient presented with severe gastrointestinal symptoms including frank bloody diarrhea, and febrile illness. He was eventually diagnosed with EIEC infection. We discuss the challenges faced in managing this patient and the potential consequences of medication noncompliance in the context of HIV.