Table 1.

Timeline.

	HIV-positive detection	ART for 16 days	ART for 26 days	24 h After intestinal perforation	48 Days after intestinal perforation
Diagnosis	Kaposi's sarcoma and AIDS	CMV Infection and IRIS	Intestinal perforation	Purulent peritonitis	Adhesive intestinal obstruction
CD4+ cell count, cells/μL	25	75	No detection	No detection	No detection
HIV RNA, copies/mL	No detection	2.46 × 103	No detection	No detection	No detection
CMV DNA, copies/mL	6.0 × 104	1.3 × 104	No detection	No detection	<500
Symptoms	Purple blue nodules on the face and neck	Fever	Persistent left lower abdominal pain	Tenderness pain in the left upper abdomen and right lower abdomen and whole abdominal rebound pain and muscle tension.	Abdominal pain and vomiting
ART	3TC, TDF, nevirapine	3TC, TDF, nevirapine	Discontinued ART	Discontinued ART	3TC, TDF, nevirapine
Treatment	Benzathine penicillin	Ganciclovir	Gastrointestinal decompression, proton pump inhibitors, ertapenem combined with levofloxacin, and nutritional support	Partial enterectomy and surgical repair of small bowel. Intravenous ganciclovir	Meropenem, rehydration transfusion, dopamine, gastrointestinal decompression

ART = antiretroviral therapy, CMV = cytomegalovirus, IRIS = immune reconstitution inflammatory syndrome.