The Management of HIV Infection, Opportunistic Infections and Complications of Other Causes of Immunocompromise

2019 ◽  
pp. 187-209
Keyword(s):  
Hiv Infection ◽  
Opportunistic Infections

Stridor in patients with HIV infection

1995 ◽  
Vol 109 (12) ◽  
pp. 1197-1199 ◽  
Author(s):  
R. B. S. Laing ◽  
P. J. C. Wardrop ◽  
P. D. Welsby ◽  
R. P. Brettle
Keyword(s):  
Hiv Infection ◽  
Broad Spectrum ◽  
Antifungal Agents ◽  
Opportunistic Infections ◽  
Upper Airways ◽  
Airway Intervention ◽  
Advanced Immunodeficiency ◽  
Laryngeal Tumours ◽  
Antibacterial And Antifungal

AbstractThe immunodeficiency which results from HIV infection is associated with a range of opportunistic infections and tumours which may present with the symptoms of upper airways disease. This paper presents three cases of stridor from different causes in patients with HIV infection, all of whom recovered following treatment. The management of this problem requires consideration of the likely aetiology which, in those with advanced immunodeficiency, includes bacterial and fungal laryngitis and epiglottitis as well as rapidly growing laryngeal tumours. Recommendations for the treatment of those with HIV infection who present with severe or rapidonset stridor should include a combination of aggressive airway intervention and broad-spectrum antibacterial and antifungal agents. Laryngeal biopsy for histology and culture is particularly important for those patients who fail to respond to the aforementioned treatment.

Idiopathic CD4+ T-Lymphocytopenia -- Four Patients with Opportunistic Infections and No Evidence of HIV Infection

1993 ◽  
Vol 328 (6) ◽  
pp. 393-398 ◽  
Author(s):  
Robert A. Duncan ◽  
C. Fordham von Reyn ◽  
George M. Alliegro ◽  
Zahra Toossi ◽  
Alan M. Sugar ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Opportunistic Infections

scholarly journals Genotypical diversity of HIV clades and central nervous system impairment

2011 ◽  
Vol 69 (6) ◽  
pp. 964-972 ◽  
Author(s):  
Indianara Rotta ◽  
Sérgio Monteiro de Almeida
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Hiv Infection ◽  
Opportunistic Infections ◽  
Regulatory Protein ◽  
Viral Meningitis ◽  
Neurological Involvement ◽  
Subtype C ◽  
Vacuolar Myelopathy ◽  
The Central Nervous System

The central nervous system (CNS) and the immune system are considered major target organs for HIV infection. The neurological manifestations directly related to HIV are acute viral meningitis, chronic meningitis, HIV associated dementia, vacuolar myelopathy and involvement of the peripheral nervous system. Changes in diagnosis and clinical management have changed the aspect of HIV infection so that it is no longer a fatal disease, and has become a chronic disease requiring sustained medical management. After HAART the incidence of most opportunistic infections, including those affecting the CNS, has dropped markedly. Some studies suggest that neurological involvement of infected patient occur with different frequency, depending on HIV subtype involved in the infection. Subtype C may have reduced neuroinvasive capacity, possibly due to its different primary conformation of HIV transactivating regulatory protein (Tat), involved in monocyte chemotaxis. This review focus on physiopathologic aspects of HIV infection in CNS and its correlation with HIV clades.

HIV Infection with Immunodeficiency Presenting with Subacute Cognitive Decline: Recent Illustrative Cases

CNS Spectrums ◽  
2007 ◽  
Vol 12 (11) ◽  
pp. 842-850 ◽  
Author(s):  
Daniel Costello ◽  
John Davis ◽  
Nagagopal Venna
Keyword(s):  
Hiv Infection ◽  
Opportunistic Infections ◽  
Brain Magnetic Resonance Imaging ◽  
Mental States ◽  
Neurological Deficits ◽  
Progressive Encephalopathy ◽  
Antiretroviral Drug ◽  
Immunodeficiency Virus ◽  
Systemic Symptoms ◽  
Work Up

ABSTRACTWe describe three recent patients in whom evaluation of subacute, progressive encephalopathy led to the initial diagnosis of human immunodeficiency virus infection. The clinical neurological picture of a predominance of abnormalities of mental function with few elementary neurological deficits, in conjunction with a paucity of systemic symptoms and lack of evidence for prior opportunistic infections preceding the encephalopathy are notable. The cognitive, behavioral, and neuropsychiatric disturbances are described in detail to illustrate the range of manifestations of disordered mental states associated with encephalopathy in individuals with HIV infection. The importance of a comprehensive and broad-minded work-up by brain magnetic resonance imaging, cerebrospinal fluid examination, and specific microbiological tests in delineating the potential multifactorial pathogenesis of the cerebral syndromes in relation to the HIV infection is emphasized. The gratifying long-term clinical improvements in parallel with resolution of neuroimaging and other laboratory abnormalities in response, to antiretroviral drug treatment are reported.

scholarly journals AIDS-Defining Opportunistic Illnesses in Qatar, 2000-2016 : A Cohort Study

2021 ◽  
Author(s):  
Maisa Ali ◽  
Mahmoud Gassim ◽  
Nada Elmaki ◽  
Wael Goravey ◽  
Abdulatif Alkhal ◽  
...  
Keyword(s):  
Cohort Study ◽  
Hiv Infection ◽  
Incidence Rate ◽  
Opportunistic Infections ◽  
Kaposi Sarcoma ◽  
Pneumocystis Jirovecii Pneumonia ◽  
Human Immune Deficiency Virus ◽  
Major Health Problem ◽  
Opportunistic Illness ◽  
Population Demographic

Abstract Background Human immune deficiency virus (HIV) infection remains a major health problem since discovery of the virus in 1981. Globally, since introduction of antiretroviral therapy, AIDS related death felt by more than 25% between 2005 &2011. Also, HIV related opportunistic infections (OIs) are less common, especially with use of prophylaxis to prevent such infections (3). We aim in this study to assess the incidence of HIV infection and related OIs in Qatar for 17-year period, and assess the spectrum of these infections, risk factors and treatment outcome. Methods retrospective cohort study for all HIV infected patients registered in Qatar from 2000-2016. Incidence of HIV infection and related opportunistic illness was calculated per 100000 population. Demographic and Clinical characteristic were compared between two groups of patients with and without opportunistic illness. Results of 167 cases with HIV infection 54 (32.3%) of them had opportunistic illness. The average incidence rate of HIV infection over 17 years is 0.69 per 100000 population, and the incidence rate for opportunistic illness is 0.27 per 100000 population, figure1. The most common opportunistic illness is pneumocystis jirovecii pneumonia (PCP) 25% of cases, followed by CMV retinitis 7.2%, Tuberculosis 5.4%, Toxoplasmosis 4.2% and less than 2% for Kaposi sarcoma, lymphoma and cryptococcal infection.

Unrecognised Human Immunodeficiency Virus Patients in an Emergency Department in Hong Kong: A Report of Four Cases

2005 ◽  
Vol 12 (3) ◽  
pp. 168-177
Author(s):  
KL Mok ◽  
PG Kan
Keyword(s):  
Emergency Department ◽  
Human Immunodeficiency Virus ◽  
Hong Kong ◽  
Hiv Infection ◽  
Opportunistic Infections ◽  
Hiv Patients ◽  
Accident And Emergency ◽  
Immunodeficiency Virus ◽  
High Index Of Suspicion ◽  
Immunodeficiency Syndrome

Human immunodeficiency virus (HIV) causes breakdown of the immune system and predisposes patients to various opportunistic infections and neoplasms. However, many patients may not be aware of the HIV infection before the development of their first HIV related complications. We reported four unrecognised HIV patients presenting to our accident and emergency department with common complications of HIV infection and the acquired immunodeficiency syndrome (AIDS). Although not as common as in America, emergency physicians in Hong Kong still have to take care of patients with unknown HIV status. The common presentations of HIV patients will be discussed. A high index of suspicion and knowledge of common HIV/AIDS complications are required for managing these patients.

HIV: disorders of the eye

2019 ◽  
pp. 513-522
Keyword(s):  
Herpes Zoster ◽  
Antiretroviral Therapy ◽  
Hiv Infection ◽  
Opportunistic Infections ◽  
Acute Retinal Necrosis ◽  
Ocular Complications ◽  
Eye Infections ◽  
Cmv Retinitis ◽  
Ophthalmic Manifestations ◽  
Wide Availability

Although the incidence of ocular complications of HIV declined significantly with the wide availability of effective antiretroviral therapy, they are still important and require close collaboration between the HIV physician and the ophthalmologists. This chapter describes the ophthalmic manifestations of HIV infection, tabulated according to the anatomy of the eye. HIV-related conditions and opportunistic infections are described. Particular reference and details are given to important eye infections, such as CMV retinitis, ophthalmic herpes zoster, acute retinal necrosis, and progressive outer retinal necrosis.

Human immunodeficiency virus (HIV) infection

2011 ◽  
pp. 663-669
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Infection ◽  
Opportunistic Infections ◽  
Tissue Loss ◽  
Atherosclerotic Cardiovascular Disease ◽  
Hiv Disease ◽  
Hiv Replication ◽  
Pharmacological Management ◽  
Nutritional Conditions ◽  
Immunodeficiency Virus

Introduction, nutritional goals, and assessment 664 Unintentional weight and lean tissue loss 666 Cardiovascular risk and complications associated with HIV disease and treatment 667 Additional dietary issues 668 Untreated human immunodeficiency virus (HIV) infection leads to progressive suppression of immune function, eventually rendering the body susceptible to opportunistic infections and tumours. While there is no cure, antiretroviral therapy (ART) is highly effective in suppressing HIV replication. HIV disease is now a chronic condition and causes of death in this population have shifted from traditional AIDS-related illnesses to non-AIDS (Acquired Immune Deficiency Syndrome) events, the most common being atherosclerotic cardiovascular disease, liver disease, end-stage renal disease and non-AIDS–defining malignancies. There are a diverse range of nutritional conditions associated with HIV, reflecting the complexity of the disease and pharmacological management....

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