BACKGROUND: COVID-19 disease has spread globally and was declared a pandemic on March 11 , 2020, by the World Health Organization . On March 10, the State of Michigan confirmed its first 2 cases of COVID-19, and the number of confirmed cases has reached 47,182 as of May 11 , 2020, with 4555 deaths .
SETTING: Currently, little is known if patients living with HIV (PLWH) are at a higher risk of severe COVID-19 or if their antiretrovirals are protective . This study presents epidemiologic and clinical features of COVID-19 infected PLWH in Detroit, Michigan .
METHODS: This is a case series that included 14 PLWH with laboratory-confirmed COVID-19 infection who were evaluated at Henry Ford Hospital in Detroit, Michigan, between March 20 , 2020, and April 30 , 2020 .
RESULTS: Fourteen PLWH were diagnosed with COVID-19 . Twelve patients were men and 2 were women; 13 patients were virally suppressed . Eight patients were hospitalized, and 6 patients were told to self-quarantine at home after their diagnoses . Three patients who were admitted expired during their hospital stay . No patient required bilevel positive airway pressure or nebulizer use in the emergency department, and none developed acute respiratory distress syndrome, pulmonary embolism, deep venous thrombosis, or a cytokine storm while on therapy for COVID-19 .
CONCLUSION: Although the clinical spectrum of COVID-19 among PLWH cannot be fully ascertained by this report, it adds to the data that suggest that HIV-positive patients with SARS-CoV-2 infection are not at a greater risk of severe disease or death as compared to HIV-negative patients.