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Provedor de dados:  BJID
País:  Brazil
Título:  Acute HIV infection with rapid progression to AIDS
Autores:  Silva,Marcio de Oliveira
Bastos,Milena
Martins Netto,Eduardo
Gouvea,Nancy Alves de Lima
Torres,Alex Jose Leite
Kallas,Esper
Watkins,David I
Altfeld,Marcus
Brites,Carlos
Data:  2010-06-01
Ano:  2010
Palavras-chave:  HIV
Acute infection
Progression
AIDS
Resumo:  Acute HIV infection is rarely recognized as the signs and symptoms are normally unspecific and can persist for days or weeks. The normal HIV course is characterized by a progressive loss of CD4+ cells, which normally leads to severe immunodeficiency after a variable time interval. The mean time from initial infection to development of clinical AIDS is approximately 8-10 years, but it is variable among individuals and depends on a complex interaction between virus and host. Here we describe an extraordinary case of a man who developed Pneumocisits jiroveci pneumonia within one month after sexual exposure to HIV-1, and then presented with 3 consecutive CD4 counts bellow 200 cells/mm³ within 3 months, with no other opportunistic disease. Although antiretroviral therapy (AZT+3TC+ATZ/r) was started, with full adherence of the patient, and genotyping indicating no primary antiretroviral resistance mutations, he required more than six months to have a CD4 restoration to levels above 200 cells/mm³ and 10 months to HIV-RNA to become undetectable.
Tipo:  Info:eu-repo/semantics/report
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702010000300016
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1590/S1413-86702010000300016
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.14 n.3 2010
Direitos:  info:eu-repo/semantics/openAccess
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