INFLUENCE OF NEUROLOGIC MANIFESTATIONS OF PRIMARY HUMAN-IMMUNODEFICIENCY-VIRUS INFECTION ON DISEASE PROGRESSION

被引:58
作者
BOUFASSA, F [1 ]
BACHMEYER, C [1 ]
CARRE, N [1 ]
DEVEAU, C [1 ]
PERSOZ, A [1 ]
JADAND, C [1 ]
SERENI, D [1 ]
BUCQUET, D [1 ]
ROUZIOUX, C [1 ]
DELLAMONICA, P [1 ]
GALLAIS, H [1 ]
DELFRAISSY, JF [1 ]
LEFRERE, JJ [1 ]
CASSUTO, JP [1 ]
DUPONT, B [1 ]
VITTECOQ, D [1 ]
HERSON, S [1 ]
GASTAUT, JA [1 ]
VILDE, JL [1 ]
KATLAMA, C [1 ]
SOBEL, A [1 ]
DUVAL, J [1 ]
KAZATCHKINE, M [1 ]
LEBRAS, P [1 ]
EVEN, P [1 ]
GUILLEVIN, L [1 ]
MEYER, L [1 ]
DEVEAU, C [1 ]
机构
[1] HOP COCHIN, DEPT MED INTERNE, Cochin, FRANCE
关键词
D O I
10.1093/infdis/171.5.1190
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
To determine the influence of neurologic manifestations of primary human immunodeficiency virus (HIV) infection on disease progression, 277 nonhemophiliac adults enrolled <1 year after HIV infection were studied, Patients with neurologic manifestations during symptomatic primary HIV infection (PSI) (group N+; n = 23), with nonneurologic manifestations (group N-; n = 112) during PSI, and without any clinical manifestation during primary infection (group NPI; n = 142) were compared for disease progression, Age at infection, sex, mode of infection and CD4(+) cell count at first visit did not differ between groups, In a Cox model, the relative risk (RR) of developing AIDS was 6.11 (95% confidence interval [CI], 1.94-19.28) in group Nf and 2.32 (95% CI, 0.93-5.83) in group N- compared with group NPI, The RR of AIDS onset after adjustment for treatment and age at infection was, respectively, 4.65 (95% CI, 1.43-15.03) and 2.03 (95% CI, 0.80-5.19) in groups N+ and N-, Neurologic manifestations of primary HIV infection are associated with an accelerated progression of disease.
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收藏
页码:1190 / 1195
页数:6
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