We describe a patient with human immunodeficiency virus infection who
developed the main clinical features of a serum sickness reaction whil
e receiving treatment with daily therapeutic doses of tuberculostatic
drugs. A decrease in complement titers as well as a detection of signi
ficant levels of circulating immune complexes were observed A positive
skin test result was observed six hours after an intradermal test wit
h rifampicin. No immunoglobulin or complement deposition was observed
by direct immunofluorescence of a punch biopsy specimen from the cutan
eous lesion.