HIV

HIV (human deficiency virus) is an infectious disease that leads to a syndrome known as AIDS (acquired immunodeficiency syndrome), severely affecting the body's adaptive immune system.

Phases

It is a progressive disease that consists of 3 phases:

  • Infection and acute HIV syndrome (acute HIV, days to weeks). Presents with mononucleosis-like symptoms that start several weeks after infection, and last for several days or weeks.
  • Asymtomatic phase (chronic HIV, 4-7 years). Progressive decrease in CD4 count (down to 500/mm^3).
  • Symptomatic phase (pre-AIDS, 1-3 years). May present with nonspecific symptoms (weight-loss, night sweats, diarrhea), and first evidence of immunodeficiency:
    • Vaginal candidiasis
    • Herpes simplex and zoster
    • Kaposi sarcoma
  • AIDS. When the CD4 count is low enough (<200/mm^3), sever immunodeficiency leads to further opportunistic infections and tumors.
    • Pneumocystis pneumonia (most common)
    • Oral candidiasis
    • Pneumocystosis
    • Toxoplasmosis
    • Cryptococcosis
    • Cryptosporidiosis
    • Histoplasmosis
    • Disseminated mycobacterium avium complex infection
    • CMV
    • CNS lymphoma

Characteristics

  • Most commonly due to HIV type 1.
  • The virus targets CD4

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